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Carla Marie Broderick, APRN
Adult Health Nurse Practitioner in Louisville, Kentucky
NPI 1033115878

Carla Marie Broderick is an Adult Health Nurse Practitioner based in Louisville, KY and is specialized in Adult Health. Carla Marie Broderick practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Carla Marie Broderick is 1033115878 and holds a License No. 3002744 (Kentucky).

The current practice location address for Carla Marie Broderick is 2215 Portland Ave, Louisville, KY and can be reached out via phone at 502-774-8631 and via fax at 502-996-8309.

Location: 2215 Portland Ave, Louisville, KY, 40295-0244
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Provider Profile Details
NPI Number
1033115878
Provider Name
Carla Marie Broderick
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2215 Portland Ave, Louisville, KY, 40295-0244
Phone Number
502-774-8631
Fax Number
502-996-8309
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000200893 01 KY ANTHEM
78009859 05 KY
institution
Provider Business Practice Location Address Details
Address
2215 Portland Ave
City
State
Zip
40212
Phone Number
502-774-8631
Fax Number
502-996-8309
person
Provider Business Mailing Address Details
Address
2215 Portland Ave
City
State
Zip
40212
Phone Number
502-774-8631
Fax Number
502-996-8309
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3002744 (Kentucky)
Definition
Definition to come...
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