Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERI BROADNAX, LDN, CNS
ActiveTERI BROADNAX, LDN, CNS is a Nutritionist healthcare provider located in PARK FOREST, Illinois. NPI 1447964499 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · PARK FOREST, IL
Registration Details
- NPI Number
- 1447964499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2023 (3.6058539055597 yrs)
- Last Updated
- Jan 12, 2023
Practice Information
- Address
-
20 FOREST BLVDPARK FOREST, IL, 604661753Browse IL providers · Browse ZIP 60466
- Phone
- 6308903081
- Primary Specialty
-
Nutritionist
133N00000X
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.