SUSAN BROADWAY R.N. N.P. NPI 1154708956

NPI Information

NPI: 1154708956
Provider Name: SUSAN BROADWAY, R.N., N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1 CYCLOTRON RD
MS26R0143
BERKELEY, CA
ZIP 94720
Phone: (510) 486-6951
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Susan Broadway, R.N., N.P. is an adult health nurse practitioner in Berkeley, CA. Susan Broadway, R.N., N.P. NPI is 1154708956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CYCLOTRON RD
MS26R0143
BERKELEY, CA
ZIP 94720-099
Phone: (510) 486-6951
Fax: (510) 486-7192

The enumeration date for this NPI number is 4/30/2015 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0106X	Nurse Practitioner	Occupational Health	332697	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	332697	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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