IndividualActive
Colleen Broderius
NPI 1992642763 · Registered Nurse · Deer Park, WA
Colleen Broderius is a Registered Nurse provider in Deer Park, WA (NPI 1992642763).
Provider details
- NPI number
- 1992642763
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 717706 (WA)
Practice location
8012 W Wild Rose Rd
Deer Park, WA 99006-9753
Phone: (509) 220-8914
Fax: (509) 220-8914
Street-level locationGet directions
Mailing address
8012 W Wild Rose Rd
Deer Park, WA 99006-9753
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.