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Andrea Broadnax
NPI 1508225160 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3444 Bragg Blvd
Fayetteville, NC 28303 - Phone
- (910) 286-7873
- Organisation at this address
- A Broader Future, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 251S00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-07
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 North Carolina