Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Broderick, ACNPC-AG, BSN, RN

Individual provider Nurse Practitioner · NPI 1629755657

Rebecca Broderick, ACNPC-AG, BSN, RN is a Nurse Practitioner in Lacey, Washington. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Washington, a 14-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2023
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

677 Woodland Square Loop SE Ste D7
Lacey, WA 98503-1000
Phone: (703) 447-6155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 61413663-NP (WA)

Record details

NPI number1629755657
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG , BSN , RN
Sole proprietorYes
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Washington — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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