SearchIndiana2470A2800X

Zakia Brodnax

NPI 1154819597 · on the registry since 2018 · sole proprietor

Practice

Address
4747 W 24th Ave
Gary, IN 46406
Phone
(219) 240-8615
Organisation at this address
Edgewater Systems
Edgewater Systems
Middle Passage, Incorporated
Edgewater Systems For Balanced Living, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
2470A2800X
2470A2800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana