MISS SHERILL ALETHIA BRODERICK NP
NPI 1699526723
Nurse Practitioner - Psychiatric/Mental Health in Loganville, GA

Q: What is Sherill Broderick's NPI number?

The NPI number for Sherill Broderick is 1699526723. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Miss Sherill Alethia Broderick Np.

Q: What is Sherill Broderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sherill Broderick was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2024

3650 LILLY BROOK DR, LOGANVILLE, GA 30052(201) 580-0480 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Sherill Alethia Broderick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHERILL ALETHIA BRODERICK NP (NPI 1699526723) is an individual psychiatric/mental health provider in Loganville, Georgia, licensed in Georgia (2023190695) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1699526723

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS SHERILL ALETHIA BRODERICKCredential: NP

Location Address3650 LILLY BROOK DRLoganville, GA 30052-3391

Mailing Address3650 Lilly Brook DrLoganville, GA 30052-3391 · (201) 898-8574

Phone(201) 580-0480

Sole ProprietorNo

Enumeration DateMarch 28, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1699526723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · 2023190695

3650 LILLY BROOK DR, Loganville, GA 30052

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Other Names 1

Professional Name (2)Miss Sherill Alethia Broderick Np

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherill Broderick's NPI number?

The NPI number for Sherill Broderick is 1699526723. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Miss Sherill Alethia Broderick Np.

Where is Sherill Broderick located?

Sherill Broderick practices at 3650 Lilly Brook Dr, Loganville, GA 30052. The listed phone number is (201) 580-0480.

What is Sherill Broderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sherill Broderick was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.