Broderson, Anne C

Broderson, Anne C is an sole proprietor health care provider with primary practice located at 75-5699 Kopiko St Unit 5 , Kailua Kona HI 96740-3651. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broderson, Anne C can be contacted via phone (808) 215-6574.

Contact Information

Primary practice address
75-5699 Kopiko St Unit 5 Kailua Kona HI 96740-3651
Phone: (808) 215-6574
Fax: (808) 758-0043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-63490 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-2600 Hawaii

Profile Details

NPI number 1992269534
LBN Legal business name Broderson, Anne C
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2019
Last updated Nov 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992269534 NPPES
Hawaii MEDICAID 830689

Popular Providers