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

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone 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.