Individual
TASHEENA BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 528-6999
Mailing address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 528-6999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15206
MN
Other
Enumeration date
09/19/2023
Last updated
06/23/2025
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