Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY R BRODERICK, NP
ActiveANTHONY R BRODERICK, NP is a Nurse Practitioner healthcare provider located in COEUR D ALENE, Idaho. NPI 1194820555 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1194820555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.893091131928 yrs)
- Last Updated
- Aug 28, 2019
- Licenses
-
NP675A (ID)RN33608 (ID)
Practice Information
- Address
-
2003 KOOTENAI HEALTH WAYCOEUR D ALENE, ID, 838146051Browse ID providers · Browse ZIP 83814
- Phone
- 2086255185
- Fax
- 2086256892
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| PAMELA S POMEROY | NP | 1912909151 |
| LISA G BREISACHER | L.N.P. | 1700883303 |
| MS. JAYNE S SHODA | MSN, FNP-C | 1003817701 |
| HOLLY BETH PENA | ARNP | 1548253867 |
| MARY SANDRA DUFF | ARNP | 1013987585 |
| PAUL S FONTANA | ARNP | 1275582751 |
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.