Individual provider · Type 1 NPI
Charles Broadwater, RN
Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1043908163
Active
Practice location
3853 Rosecrans St
San Diego, CA 92110-3115
Fax (619) 542-4060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 651695 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1043908163
Charles Broadwater, RN's National Provider Identifier is 1043908163, issued on Apr 26, 2023. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Diego, CA. The record was last updated on Apr 26, 2023.