Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROADWAY FAMILY CLINIC LLC
Active OrganizationBROADWAY FAMILY CLINIC LLC is a Family Nurse Practitioner organization located in BLOOMFIELD, Missouri. NPI 1427566694 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLOOMFIELD, MO
Registration Details
- NPI Number
- 1427566694
- Provider Type
- Organization
- NPI Issued
- Jan 22, 2018 (8.5547329510089 yrs)
- Last Updated
- Aug 8, 2023
- Licenses
-
126560 (MO)2014044250 (MO)
Practice Information
- Address
-
612 STATE HIGHWAY 25 SBLOOMFIELD, MO, 638259566Browse MO providers · Browse ZIP 63825
- Phone
- 5738033995
- Fax
- 5738035222
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.