Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY LEEANN BROADAWAY, APRN-CNP
ActiveMALLORY LEEANN BROADAWAY, APRN-CNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in TRUMANN, Arkansas. NPI 1881023828 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · TRUMANN, AR
Registration Details
- NPI Number
- 1881023828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2013 (12.728866739325 yrs)
- Last Updated
- May 3, 2021
- Licenses
-
A003980 (AR)A003980 (AR)
Practice Information
- Address
-
1704 HIGHWAY 69 WESTTRUMANN, AR, 724722029Browse AR providers · Browse ZIP 72472
- Phone
- 8704834003
- Fax
- 8704834009
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.