Individual provider · Type 1 NPI
Brandon Trent Broady, LMP
Specialist · Lynnwood, WA
NPI number
1043361900
Active
Practice location
3501 Shelby Rd. Suite C
Lynnwood, WA 98087
Fax (425) 745-3372
Mailing address
2620 Center Rd
Everett, WA 98204-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00018093 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Stacy S. Hill, LMPSpecialist Lynnwood, WA NPI 1134340367
- Krysta Lee Shove, L.M.P.Specialist Lynnwood, WA NPI 1144518978
- Terisa Y. Kim, LMPSpecialist Lynnwood, WA NPI 1225245350
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About NPI 1043361900
Brandon Trent Broady, LMP's National Provider Identifier is 1043361900, issued on Jan 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 8, 2007.