| Doctor Name: | SANDRA BROADHURST |
| NPI Number: | 1104927532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F332527 |
| Business Practice Address: | 400 E Main St Northern Westchester Hospital Emergency Department Mount Kisco, NY - 105493417 |
| Business Phone Number: | 9146661200 |
| Business Fax Number: | 9146661965 |
| Mailing Address: | Northern Westchester Hospital 400 East Main Street, Emergency Department MT KISCO |
| State: | NY |
| Postal Code: | 10549 |
| Phone Number: | 9146661200 |
| Fax Number: | 9146661965 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F332527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |