NPI 1356442842 · live from the CMS NPI Registry
Mary Ann Broda, C.P.N.P.
Nurse Practitioner, Pediatrics in Spring Arbor, MI. National Provider Identifier 1356442842, active.
NPI record
| NPI | 1356442842 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 106 E Main St, Spring Arbor, MI 49283 |
| Practice phone | 517-750-6352 |
| Enumerated | September 26, 2006 |
| Last updated | February 16, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704119440 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.