BEVERLY BROADNAX

Licensed Practical Nurse

Active Individual
NPI: 1477969665

Practice Address

2814 EDWARDS AVE S
Saint Petersburg, FL 33705

Phone: (727) 642-6894

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes PN142291 (FL)

Frequently Asked Questions

NPI 1477969665 is the National Provider Identifier for BEVERLY BROADNAX, a Licensed Practical Nurse provider located in Saint Petersburg, FL. This NPI was enumerated on July 8, 2014.
BEVERLY BROADNAX practices at 2814 EDWARDS AVE S, Saint Petersburg, FL 33705.

Quick Facts

NPI
1477969665
Type
Individual
Enumerated
Jul 8, 2014
Last Updated
Jul 8, 2014

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