Individual provider · Type 1 NPI
Letrelle Diane Broaden
Private Vehicle · Dickson, TN
NPI number
1194409748
Active
Practice location
100 Batey Cir Ste C
Dickson, TN 37055-1044
Fax (931) 236-0024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1194409748
Letrelle Diane Broaden's National Provider Identifier is 1194409748, issued on Jun 14, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Dickson, TN. The record was last updated on Jun 14, 2023.