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Alexa Rose Broderick
Student in an Organized Health Care Education/Training Program in Danbury, Connecticut
NPI 1134757958

Alexa Rose Broderick is a Student in an Organized Health Care Education/Training Program based in New Fairfield, CT. Alexa Rose Broderick practices in Danbury, CT. The NPI Number for Alexa Rose Broderick is 1134757958 and holds a License No. (Connecticut).

The current practice location address for Alexa Rose Broderick is 24 Hospital Ave, Danbury, CT and can be reached out via phone at 203-312-4006.

Location: 24 Hospital Ave, Danbury, CT, 06812-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134757958
Provider Name
Alexa Rose Broderick
Credential
Provider Entity Type
Individual
Gender
Female
Address
24 Hospital Ave, Danbury, CT, 06812-4112
Phone Number
203-312-4006
Fax Number
Provider Enumeration Date
03/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-312-4006
Fax Number
person
Provider Business Mailing Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-312-4006
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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