Amy Broderick, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

9641739-3102 Issued in UT

Practice address

5381 S Green St
Murray, UT 84123-4661

Phone

(435) 817-2541

NPI assigned

Apr 20, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1861135402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 ROBBIN CT",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655306",
            "telephone_number": "435-817-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5381 S GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234661",
            "telephone_number": "435-817-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "UT",
            "license": "9641739-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Britton
• Madalyn Brobak
• Harold Grant Brockbank, D.D.S.
• Lori P Brockbank, RN
• Wells Brockbank
• Julia C. Brogli, MD
• Moira Bromley
• Ashley Brown
• Deborah Brown
• Emma Brown

• Case Management Registered Nurse in Murray, UT
• Providers in Murray, UT by specialty
• Case Management Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.