Individual provider · Type 1 NPI
Latricia Broaddus
Psychiatric/Mental Health Nurse Practitioner · Aylett, VA
NPI number
1003383688
Active
Practice location
5833 Richmond Tappahannock Hwy Ste 106B
Aylett, VA 23009-3007
Mailing address
PO Box 13
St. Stephens Church, VA 23148-0013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024181570 (VA) |
| In Home Supportive Care Agency | 253Z00000X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Aylett
About NPI 1003383688
Latricia Broaddus's National Provider Identifier is 1003383688, issued on Oct 31, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Aylett, VA. The record was last updated on Mar 6, 2024.