Active NPIIndividual provider

Deborah A Broadley, NP

Nurse Practitioner, Family in Wethersfield, Connecticut

NPI Number1558531996
Practice location
30 Jordan Ln, Wethersfield, CT 06109-1278
Fax
860-263-0262
Last updated
December 2, 2014

Deborah Ann Broadley is a Nurse Practitioner, Family based in Wethersfield, CT. Deborah Ann Broadley practices in Wethersfield, CT and has the professional credentials of NP. The NPI Number for Deborah Ann Broadley is 1558531996 and holds a License No. 003754 (CT). The current practice location address for Deborah Ann Broadley is 30 Jordan Ln, Wethersfield, CT 06109-1278 and can be reached out via phone at 860-263-0253 and via fax at 860-263-0262.

Provider Profile Details

NPI Number
1558531996
Provider Name
Deborah Ann Broadley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
30 Jordan Ln, Wethersfield, CT 06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 29, 2008
Last Update Date
December 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Jordan Ln
Wethersfield, CT 06109-1278
Zip
06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
30 Jordan Ln
Wethersfield, CT 06109-1278
City
Wethersfield
State
CT
Zip
06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262

License Information

License Number (1)
003754
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (2)
3754
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah A Broadley, NP?

The NPI number of Deborah A Broadley, NP is 1558531996. It was assigned on February 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Deborah A Broadley, NP?

Deborah A Broadley, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 003754.

Where does Deborah A Broadley, NP practice?

The practice location is 30 Jordan Ln, Wethersfield, CT 06109-1278. The office can be reached at 860-263-0253 (phone) or 860-263-0262 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558531996 directly on the NPPES registry website.

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