Individual
CORA ANN BROADBEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7312937-4405
UT
Other
Enumeration date
03/03/2025
Last updated
12/04/2025
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