Nancy C Broc, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

RN007083 Issued in AZ

Practice address

300 West Clarendon Ave
Suite 375
Phoenix, AZ 85013-3498

Phone

(602) 277-4161

Fax

(602) 266-3481

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neonatology Associates, LTD

  • Ph.D. Medical Genetics
  • Phoenix, AZ
  • NPI 1275569501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1588833537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST CLARENDON AVE",
            "address_2": "SUITE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133498",
            "telephone_number": "602-277-4161",
            "fax_number": "602-266-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST CLARENDON AVE",
            "address_2": "SUITE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133498",
            "telephone_number": "602-277-4161",
            "fax_number": "602-266-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROC",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AZ",
            "license": "RN007083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis E. Broadbent, PH.D.
• Svetlana Broadstock, LDO
• Broadway Family Pharmacy PLLC (Broadway Family Pharmacy)
• Broadway Monitoring LLC
• Staci Broadwell, PSY.D
• Emily Brocato, MS, RDN
• Marian Brock Andersen, DNP, FNP-BC
• Brock Surgical Group, LLC
• Andrea Kay Brock, ANP
• Kimberly Brown Brockenbrough, M.D.

• Critical Care Neonatal Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Critical Care Neonatal Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.