Anthony R Broderick, NP
NPI #1194820555 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1194820555
- Entity Type
- Individual
- Name
- Anthony R Broderick, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Aug 28, 2019
Practice Location
- Address
- 2003 KOOTENAI HEALTH WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-6051
- Phone
- (208) 625-5185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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