CARLA MARIE BRODERICK

LOUISVILLE, KY
NPI1033115878
Former NameCARLA M HOLDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: KY  3002744)
Enumeration Date2005-06-27
Last Update Date2023-01-25
Business Address
CARLA MARIE BRODERICK APRN
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Phone number: 502-774-8631
Mailing Address
CARLA MARIE BRODERICK APRN
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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