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Mr. Kieron James Broderick, RN,ACNP
Nurse Practitioner in Centerville, Iowa
NPI 1174879282

Kieron James Broderick is a Nurse Practitioner based in Austin, IA. Kieron James Broderick practices in Centerville, IA and has the professional credentials of RN,ACNP. The NPI Number for Kieron James Broderick is 1174879282 and holds a License No. 2012024476 (Iowa).

The current practice location address for Kieron James Broderick is 1208 E Cross St, Centerville, IA and can be reached out via phone at 816-477-7200.

Location: 1208 E Cross St, Centerville, IA, 78759-8723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174879282
Provider Name
Kieron James Broderick
Credential
RN,ACNP
Provider Entity Type
Individual
Gender
Male
Address
1208 E Cross St, Centerville, IA, 78759-8723
Phone Number
816-477-7200
Fax Number
Provider Enumeration Date
07/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1208 E Cross St
City
Centerville
State
Iowa
Zip
52544-3501
Phone Number
816-477-7200
Fax Number
person
Provider Business Mailing Address Details
Address
1208 E Cross St
City
Centerville
State
Iowa
Zip
52544-3501
Phone Number
816-477-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
L166512 (Iowa)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2012024476 (Missouri)
Definition
Definition to come...
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