Individual
DANIELLE BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 N POINT PKWY STE 302, ALPHARETTA, GA 30005-4381
(404) 800-5181
Mailing address
1320 ROSEN RD, BROOKHAVEN, GA 30319-0005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN291014
GA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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