MRS. RAE MICHELLE BROADNAX NP NPI 1437249570

NPI Information

NPI: 1437249570
Provider Name: MRS. RAE MICHELLE BROADNAX, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6600 VAN AALST BLVD
FORT MOORE, GA
ZIP 31905
Phone: (762) 408-3450
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MRS. Rae Michelle Broadnax, NP is a family nurse practitioner in Fort Moore, GA. MRS. Rae Michelle Broadnax, NP NPI is 1437249570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6600 VAN AALST BLVD
FORT MOORE, GA
ZIP 31905-102
Phone: (762) 408-3450
Fax: (762) 408-8115

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	117077	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP 1447	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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