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

NPI Information

  • NPI: 1154708956
  • Provider Name: SUSAN BROADWAY, R.N., N.P.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1 CYCLOTRON RD
    MS26R0143
    BERKELEY, CA
    ZIP 94720
  • Phone: (510) 486-6951

Map and Directions

Get Directions

NPI Details

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
1363LX0106XNurse PractitionerOccupational Health332697CALIFORNIANo
2363LA2200XNurse PractitionerAdult Health332697CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI