Individual provider · Type 1 NPI
Mashelia Broadway
Acute Care Nurse Practitioner · Little Rock, AR
NPI number
1912306473
Active
Practice location
4300 W 7th St
Little Rock, AR 72205-5446
Mailing address
1 Apple Berry Cv
Little Rock, AR 72206-6999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | A004180 (AR) |
| Gerontology Nurse Practitioner | 363LG0600X | A004180 (AR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1912306473
Mashelia Broadway's National Provider Identifier is 1912306473, issued on Aug 20, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Little Rock, AR. The record was last updated on Aug 20, 2014.