CORI CLARK BROADHEAD NPI 1033750401

NPI Information

NPI: 1033750401
Provider Name: CORI CLARK BROADHEAD
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
516 QUINTARD AVE
ANNISTON, AL
ZIP 36201
Phone: (256) 741-9799
Get Directions

Cori Clark Broadhead is a pediatrics nurse practitioner in Anniston, AL. Cori Clark Broadhead NPI is 1033750401. 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:

516 QUINTARD AVE
ANNISTON, AL
ZIP 36201-711
Phone: (256) 741-9799
Fax: (256) 741-9795

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/23/2019.

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	363LP0200X	Nurse Practitioner	Pediatrics	201914904	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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