Individual provider · Type 1 NPI

Beverly Broadnax

Licensed Practical Nurse · St. Petersburg, FL

NPI number 1477969665 Active

Practice location

2814 Edwards Ave S
St. Petersburg, FL 33705-3653

Call (727) 642-6894 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN142291 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477969665

Beverly Broadnax's National Provider Identifier is 1477969665, issued on Jul 8, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2014.