Lisa Broody is a Family in Media, Pennsylvania. Lisa Broody practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Broody is 1487737417. The last update date is 2007-07-08.
Lisa Broody's current location address is 1088 W Baltimore Pike, Media, Pennsylvania. You can contact this provider via phone number 6108913049 and fax number 6108913919. The mailing address for Lisa Broody is 1088 W Baltimore Pike, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Broody |
|---|---|
| Address | 1088 W Baltimore Pike, Media, Pennsylvania |
| Phone Number | 6108913049 |
| Fax Number | 6108913919 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1487737417 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1088 W Baltimore Pike |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190635146 |
| Phone Number | 6108913049 |
| Fax Number | 6108913919 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SP009148 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Lisa Broody by the Centers for Medicare & Medicaid Services?
The Lisa Broody has been issued the NPI (National Provider Identifier) 1487737417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lisa Broody is located?
The Lisa Broody is situated at the following address: 1088 W Baltimore Pike, Media, PA, 190635146.
What is Lisa Broody's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Broody's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487737417 to Lisa Broody?
The Lisa Broody received its 1487737417 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date was the information regarding Lisa Broody, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Broody, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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