Individual provider · Type 1 NPI

Andrea Broadnax

Private Vehicle · Fayetteville, NC

NPI number 1508225160 Active

Practice location

3444 Bragg Blvd
Fayetteville, NC 28303-3946

Call (910) 286-7873 Map

Mailing address

882 Southview Cir
Fayetteville, NC 28311-0318

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed
Community/Behavioral Health Agency 251S00000X2016-3437-01 (NC)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1508225160

Andrea Broadnax's National Provider Identifier is 1508225160, issued on Feb 10, 2016. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 7, 2016.