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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. RAE MICHELLE BROADNAX, NP

Active

MRS. RAE MICHELLE BROADNAX, NP is a Family Nurse Practitioner healthcare provider located in FORT MOORE, Georgia. NPI 1437249570 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FORT MOORE, GA

Registration Details

NPI Number
1437249570
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2006 (19.803923151536 yrs)
Last Updated
Dec 27, 2023
Licenses
117077 (AZ)
AP 1447 (AZ)

Practice Information

Address
6600 VAN AALST BLVD
FORT MOORE, GA, 319052102
Browse GA providers · Browse ZIP 31905
Phone
7624083450
Fax
7624088115
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FORT MOORE, GA

Name Credential NPI
MS. TAMIKA LASHUN HELTON ACNP 1093959165
LESLIE PANDY 1396147997
ANDREA DENISE THOMPSON-DAVIS DNP 1720594666
MR. LEE JOHN BIZON JR. FNP 1801373055
KATRINA FARRELL APRN 1477037034
AMAZA TRIPP MSN, APRN, CNP 1013570035
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.