Individual provider · Type 1 NPI

Cora Ann Broadbear, NP

Nurse Practitioner · St. George, UT

NPI number 1073311536 Active

Practice location

577 S River Rd
St. George, UT 84790-2097

Call (435) 688-6200 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	7312937-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073311536

Cora Ann Broadbear, NP's National Provider Identifier is 1073311536, issued on Mar 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. George, UT. The record was last updated on Dec 4, 2025.