Individual
ANITA LOUISE BROOMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3479 BUCKHORN DR, LEXINGTON, KY 40515-1114
(859) 246-7282
(859) 273-2184
Mailing address
3479 BUCKHORN DR, LEXINGTON, KY 40515-1114
(859) 246-7282
(859) 273-2184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1126935
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
11/21/2016
Last updated
12/01/2016
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