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MARY SIOBHAN BRODERICK RN, CDCES
NPI 1720749229
Registered Nurse - Diabetes Educator in Batavia, NY

Active since January 06, 2022
164 WASHINGTON AVE, BATAVIA, NY 14020(585) 344-5331 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Oct 3, 2023, Jan 6, 2022 (3 updates tracked since 2022).

About Mary Siobhan Broderick Rn, Cdces NPPES

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

MARY SIOBHAN BRODERICK RN, CDCES (NPI 1720749229) is an individual diabetes educator provider in Batavia, New York, licensed in New York (749791) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1720749229
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMARY SIOBHAN BRODERICKCredential: RN, CDCES
Location Address164 WASHINGTON AVEBatavia, NY 14020-2113
Mailing Address164 Washington AveBatavia, NY 14020-2113 · (585) 344-5331
Phone(585) 344-5331
Sole ProprietorNo
Enumeration DateJanuary 6, 2022
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1720749229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in NY · 749791
Also ListedRegistered NurseTaxonomy 163W00000X · License 749791 (NY)
164 WASHINGTON AVE, Batavia, NY 14020
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA BONCZYK NP
Nurse Practitioner (Adult Health)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 343-6363
SHOUKRI MINA WISA MD
Internal Medicine (Hematology & Oncology)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 343-6363
OLGA GRISELLE EDWARDS
Specialist/Technologist, Health Information
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
MRS. RACHEL COSIMENO RN
Registered Nurse
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
MEGAN K BORING
Clinical Exercise Physiologist
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
DR. COLLEEN ANN NUGENT M.D
Pediatrics (Pediatric Gastroenterology)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 250-4132
MARY E TRAXLER GNP
Nurse Practitioner
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 343-6363
JADRIENE BALDUF RN, IBCLC, CCE
Registered Nurse (Lactation Consultant)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331

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 Mary Broderick's NPI number?

The NPI number for Mary Broderick is 1720749229. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Mary Broderick located?

Mary Broderick practices at 164 Washington Ave, Batavia, NY 14020. The listed phone number is (585) 344-5331.

What is Mary Broderick's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Mary Broderick was last updated on October 10, 2023. 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.