Anjulie Broderick, | |
1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338-9276 | |
(623) 263-0105 | |
Not Available |
Full Name | Anjulie Broderick |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1170 N Estrella Pkwy Ste A107, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518354927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Omnia Womens Health Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679245807 PECOS PAC ID: 5698160968 Enrollment ID: O20220323002025 |
Mailing Address | Practice Location Address |
---|---|
Anjulie Broderick, 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338-9276 Ph: (623) 263-0105 | Anjulie Broderick, 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338-9276 Ph: (623) 263-0105 |
Tracy Lee Burns, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338 Phone: 623-846-7558 Fax: 623-846-1674 | |
Jessica Lynne Olano, CERTIFIED NURSE MIDW Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558 Fax: 623-846-1674 | |
Kendell Lincoln, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558 |