Kieron James Broderick, RN, ACNP
Nurse Practitioner · Centerville, IA
Practice location
1208 E Cross StCenterville, IA 52544-3501
- Phone
- (816) 477-7200
NPI record
- NPI
- 1174879282
- Entity type
- Individual (Type 1)
- Enumeration date
- July 25, 2012
- Last updated
- February 18, 2022
- Certified
- February 18, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
L166512 | IA |
| Acute Care Nurse Practitioner | 363LA2100X |
2012024476 | MO |
Mailing address
3901 Spicewood Springs Rd Ste 201Austin, TX 78759-8723
- Phone
- (877) 279-5960
- Fax
- (877) 384-3106
About Kieron Broderick
Kieron James Broderick, RN, ACNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1208 E Cross St, Centerville, IA 52544-3501. The NPI number 1174879282 was assigned on July 25, 2012 and the record was last updated on February 18, 2022.
Kieron Broderick lists 2 licenses in the registry: #L166512 (IA) for Nurse Practitioner; #2012024476 (MO) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kieron James Broderick, RN, ACNP?
The NPI number is 1174879282.
What is the phone number of Kieron Broderick?
The phone number listed for the practice location is (816) 477-7200.
Where is Kieron Broderick located?
1208 E Cross St, Centerville, IA 52544-3501.
What is the taxonomy code for Kieron Broderick?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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