MARY SIOBHAN BRODERICK RN CDCES NPI 1720749229

NPI Information

  • NPI: 1720749229
  • Provider Name: MARY SIOBHAN BRODERICK, RN, CDCES
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 164 WASHINGTON AVE
    BATAVIA, NY
    ZIP 14020
  • Phone: (585) 344-5331

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NPI Details

Mary Siobhan Broderick, RN, CDCES is a diabetes educator registered nurse in Batavia, NY. Mary Siobhan Broderick, RN, CDCES NPI is 1720749229. 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:

164 WASHINGTON AVE
BATAVIA, NY
ZIP 14020-113
Phone: (585) 344-5331

The enumeration date for this NPI number is 1/6/2022 and was last updated on 10/10/2023.

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
1163W00000XRegistered Nurse749791NEW YORKNo
2163WD0400XRegistered NurseDiabetes Educator749791NEW YORKYes

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

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