DIANA MARIE BROADWAY APRN-CNP NPI 1265002554

NPI Information

NPI: 1265002554
Provider Name: DIANA MARIE BROADWAY, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9313 MEDICAL PLAZA DR STE 202
CHARLESTON, SC
ZIP 29406
Phone: (843) 572-1200
Get Directions

Diana Marie Broadway, APRN-CNP is a family nurse practitioner in Charleston, SC. Diana Marie Broadway, APRN-CNP NPI is 1265002554. 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:

9313 MEDICAL PLAZA DR STE 202
CHARLESTON, SC
ZIP 29406-176
Phone: (843) 572-1200
Fax: (843) 553-0424

The NPI 1265002554 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 6/29/2021 and was last updated on 5/19/2022.

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	363LF0000X	Nurse Practitioner	Family	216506	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	25919	SOUTH CAROLINA	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »