Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAEJA BROADWATER, PA-C
Active Sole ProprietorMS. TAEJA BROADWATER, PA-C is a Surgical Physician Assistant healthcare provider located in DANVILLE, Pennsylvania. NPI 1114152329 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · DANVILLE, PA
Registration Details
- NPI Number
- 1114152329
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2009 (17.275842696731 yrs)
- Last Updated
- Sep 27, 2013
- Licenses
-
R185137 (MD)MAO55689 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
GEISINGER MEDICAL CTR100 NORTH ACADEMY DRIVEDANVILLE, PA, 178220001Browse PA providers · Browse ZIP 17822
- Phone
- 5702715555
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in DANVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| PATRICIA ANN NIGLIO | PAC | 1831156074 |
| BRYCE ALDEN PETERSHEIM | PA-C | 1629589981 |
| COURTNEY MARIE HOLLEY | PA-C | 1013743665 |
| ANNA HANEY | PA-C | 1811847916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.