Search › Pennsylvania › 103TC1900X
Shirley Broadwater, M.S
NPI 1659583599 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1111 Houser Rd
Fayetteville, PA 17222 - Phone
- (717) 352-2857
- Fax
- (717) 352-2857
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Pennsylvania