IndividualActive
Stephanie Broderick, CNM, WHNP-BC
NPI 1629444823 · Obstetrics & Gynecology Nurse Practitioner · Aurora, IL
Provider details
- NPI number
- 1629444823
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, WHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209013055 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1400 Indian Ave
Aurora, IL 60505-3137
Phone: (630) 892-4355
Approximate (ZIP-level) locationGet directions
Mailing address
400 N Highland Ave
Aurora, IL 60506-3814
Additional practice locations (1)
- 400 N Highland AveAurora, IL 60506-3814Phone: (630) 892-4355Fax: (630) 892-0262
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.