Carla Marie Broderick in Louisville - Adult Health
Carla Marie Broderick - NPI 1033115878
Carla Marie Broderick is a Adult Health in Louisville, Kentucky. Carla Marie Broderick practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Carla Marie Broderick is 1033115878. The last update date is 2023-01-25.
Carla Marie Broderick's current location address is Po Box 950244, Louisville, Kentucky. You can contact this provider via phone number 5029534700 and fax number 5027768912. The mailing address for Carla Marie Broderick is Po Box 950244, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Marie Broderick |
|---|---|
| Address | Po Box 950244, Louisville, Kentucky |
| Phone Number | 5029534700 |
| Fax Number | 5027768912 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1033115878 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2023-01-25 |
Provider Mailing Address Detail
| Address | Po Box 950244 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402950244 |
| Phone Number | 5029534700 |
| Fax Number | 5027768912 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 3002744 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200893 | KY | ANTHEM | |
| 78009859 | KY | -- |
Post Comment/ Review Below
What is the Carla Marie Broderick's 1033115878?
The Carla Marie Broderick's NPI (National Provider Identifier) Number is 1033115878. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carla Marie Broderick is physically located?
The Carla Marie Broderick is physically situated at the following address: Po Box 950244, Louisville, KY, 402950244.
What is Carla Marie Broderick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carla Marie Broderick is Adult Health, and the corresponding taxonomy classification code for this specialized field is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033115878 to Carla Marie Broderick?
The Centers for Medicare & Medicaid Services assigned the 1033115878 to Carla Marie Broderick on 2005-06-27.
As of what date were the details related to Carla Marie Broderick most recently updated or revised?
The information pertaining to Carla Marie Broderick, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-25.