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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KIERON JAMES BRODERICK, RN, ACNP

Active Sole Proprietor

MR. KIERON JAMES BRODERICK, RN, ACNP is a Nurse Practitioner healthcare provider located in CENTERVILLE, Iowa. NPI 1174879282 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CENTERVILLE, IA

Registration Details

NPI Number
1174879282
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2012 (13.912813520872 yrs)
Last Updated
Feb 18, 2022
Licenses
2012024476 (MO)
L166512 (IA)
Sole Proprietor
Yes

Practice Information

Address
1208 E CROSS ST
CENTERVILLE, IA, 525443501
Browse IA providers · Browse ZIP 52544
Phone
8164777200
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CENTERVILLE, IA

Name Credential NPI
PATRICIA LOUISE BLACKLEDGE ARNP MS 1871586271
MS. LINDA C MCDANOLDS ARNP 1851388342
CAROL BELLOMA ARNP 1780917831
JESSICA DEVAULT ARNP 1306218565
RACHEL HIGGINS 1336695428
LAUREN ANNE DRAKE FNP-C 1093416398
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.