Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DOROTHY M BROADWAY, CNA
Deactivated Sole ProprietorMRS. DOROTHY M BROADWAY, CNA is a Community Health Worker healthcare provider located in WEST MEMPHIS, Arkansas. NPI 1730549163 is deactivated in the NPPES registry. Verify at CMS.
Community Health Worker · WEST MEMPHIS, AR
This NPI has been deactivated.
The record was deactivated on March 29, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1730549163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2016 (3.0849315068493 yrs)
- Last Updated
- Mar 14, 2025
- Deactivated
- Mar 29, 2019
- License
-
208584752 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 S 16TH STWEST MEMPHIS, AR, 723014610Browse AR providers · Browse ZIP 72301
- Phone
- 8707327981
- Fax
- 8707327984
- Primary Specialty
-
Community Health Worker
172V00000X
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.