Deborah Ann Broadley, NP | |
30 Jordan Ln, Wethersfield, CT 06109-1278 | |
(860) 263-0253 | |
(860) 263-0262 |
Full Name | Deborah Ann Broadley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 30 Jordan Ln, Wethersfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558531996 | NPI | - | NPPES |
008004412 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 003754 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3754 (Connecticut) | Primary |
Entity Name | Michael D Bergman Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639526890 PECOS PAC ID: 0749574291 Enrollment ID: O20160808000368 |
Mailing Address | Practice Location Address |
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Deborah Ann Broadley, NP 30 Jordan Ln, Wethersfield, CT 06109-1278 Ph: (860) 263-0253 | Deborah Ann Broadley, NP 30 Jordan Ln, Wethersfield, CT 06109-1278 Ph: (860) 263-0253 |
Leah Cipollone, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1283 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-249-8659 | |
Raluca Schuster, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 988 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-493-1951 | |
Lisa Michele Halpern, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1260 Silas Deane Hwy, Hartford Hospital Neurology Dept, Wethersfield, CT 06109 Phone: 860-696-2820 | |
Kimberly Keegan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3480 | |
Kristin Elek, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 106, Wethersfield, CT 06109 Phone: 860-258-3477 | |
Katie Vigil, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 | |
Ms. Patrice Mary Horan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Jordan Lane, Prime Healthcare, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0567 |