Ida Elise Broadwater, CRNP is an adult health nurse practitioner in Philadelphia, PA. Ida Elise Broadwater, CRNP NPI is 1598195307. 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:
3400 SPRUCE STREET
6 SILVERSTEIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 615-4949
The NPI 1598195307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/14/2013 and was last updated on 12/20/2013.