BRODERICH ALEXANDER DURLEY NPI 1609415116

NPI Information

NPI: 1609415116
Provider Name: BRODERICH ALEXANDER DURLEY
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
14235 OAKLEY DR
RIVERSIDE, CA
ZIP 92503
Phone: (951) 231-3916
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Broderich Alexander Durley is a student in an organized health care education training program in Riverside, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Broderich Alexander Durley NPI is 1609415116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14235 OAKLEY DR
RIVERSIDE, CA
ZIP 92503-236
Phone: (951) 231-3916

The enumeration date for this NPI number is 12/31/2019 and was last updated on 12/31/2019.

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	390200000X	Student in an Organized Health Care Education/Training Program				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: 11/14/2023

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.

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