Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LAURA BROADT, PA
ActiveJENNIFER LAURA BROADT, PA is a Physician Assistant healthcare provider located in TIETON, Washington. NPI 1962869776 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TIETON, WA
Registration Details
- NPI Number
- 1962869776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2016 (10.530463646213 yrs)
- Last Updated
- Dec 5, 2016
- License
-
PA60703623 (WA)
Practice Information
- Address
-
915 WISCONSIN AVETIETON, WA, 989479802Browse WA providers · Browse ZIP 98947
- Phone
- 5096730044
- Fax
- 5096730054
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TIETON, WA
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN BARRY FITZGERALD | PA-C | 1548565682 |
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.