Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS PATRICK BRODERICK II, RN
Active Sole ProprietorMR. THOMAS PATRICK BRODERICK II, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in EAST LIVERPOOL, Ohio. NPI 1912156340 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · EAST LIVERPOOL, OH
Registration Details
- NPI Number
- 1912156340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2008 (17.96106826077 yrs)
- Last Updated
- Sep 10, 2008
- License
-
246341 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15655 STATE ROUTE 170 STE AEAST LIVERPOOL, OH, 439209672Browse OH providers · Browse ZIP 43920
- Phone
- 3303864303
- Fax
- 3303866022
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.