Individual provider · Type 1 NPI
Lizzeth Broadway
Psychiatric/Mental Health Nurse Practitioner · Fullerton, CA
NPI number
1972842185
Active
Practice location
800 N State College Blvd
Fullerton, CA 92831-3547
Mailing address
PO Box 6830
Fullerton, CA 92834-6830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 559684 (CA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 559684 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972842185
Lizzeth Broadway's National Provider Identifier is 1972842185, issued on Feb 7, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fullerton, CA. The record was last updated on Nov 21, 2020.