LATRICIA BROADDUS

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1003383688

Practice Address

5833 RICHMOND TAPPAHANNOCK HWY STE 106B
Aylett, VA 23009

Phone: (042) 230-0298

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 0024181570 (VA)
In Home Supportive Care 253Z00000X No -

Frequently Asked Questions

NPI 1003383688 is the National Provider Identifier for LATRICIA BROADDUS, a Nurse Practitioner - Psychiatric/Mental Health provider located in Aylett, VA. This NPI was enumerated on October 31, 2018.
LATRICIA BROADDUS practices at 5833 RICHMOND TAPPAHANNOCK HWY STE 106B, Aylett, VA 23009.

Quick Facts

NPI
1003383688
Type
Individual
Enumerated
Oct 31, 2018
Last Updated
Mar 6, 2024

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