Individual provider · Type 1 NPI
Taeja Broadwater, PA-C
Surgical Physician Assistant · Danville, PA
NPI number
1114152329
Active
Practice location
Geisinger Medical Ctr, 100 North Academy Drive
Danville, PA 17822-0001
Mailing address
1015 Clifton Dr
Bloomsburg, PA 17815-3083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | R185137 (MD) |
| Surgical Physician Assistant Primary | 363AS0400X | MAO55689 (PA) |
Surgical Physician Assistant: Definition to come...
26 other providers at this address
- Adam Rennard Gross, PharmDPharmacotherapy Pharmacist Danville, PA NPI 1699923011
- Ahmad Iqbal, MDStudent in an Organized Health Care Education/Training Program Danville, PA NPI 1013269612
- Amy Marie Stroman, PharmDPharmacotherapy Pharmacist Danville, PA NPI 1336380823
- Andrew VeresStudent in an Organized Health Care Education/Training Program Danville, PA NPI 1376884361
- Arbab IqbalDiagnostic Radiology Physician Danville, PA NPI 1063711240
- Ayesha MoghulInternal Medicine Physician Danville, PA NPI 1215390133
- Barbara Lynn Brown, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Danville, PA NPI 1154578706
- Benjamin Wilson FisherTrauma Surgery Physician Danville, PA NPI 1114372984
- Christopher Coppola, MDPediatric Surgery Physician Danville, PA NPI 1952389082
- Christopher J. PowersStudent in an Organized Health Care Education/Training Program Danville, PA NPI 1801186994
- Craig DixEmergency Medicine Physician Danville, PA NPI 1972038677
- Elizabeth Anne Yakaitis, DOStudent in an Organized Health Care Education/Training Program Danville, PA NPI 1346516267
Other surgical physician assistant providers in Danville
- Lisa Durdan, PASurgical Physician Assistant Danville, PA NPI 1508046475
- Bryce Alden Petersheim, PA-CSurgical Physician Assistant Danville, PA NPI 1629589981
- Anna Haney, PA-CSurgical Physician Assistant Danville, PA NPI 1811847916
- Patricia Ann Niglio, PACSurgical Physician Assistant Danville, PA NPI 1831156074
About NPI 1114152329
Taeja Broadwater, PA-C's National Provider Identifier is 1114152329, issued on May 18, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Danville, PA. The record was last updated on Sep 27, 2013.