Individual
NATASHIA BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
952 GOLF HOUSE RD W STE INA, WHITSETT, NC 27377-9286
(336) 383-9988
Mailing address
21 CLIFFVIEW CT, MC LEANSVILLE, NC 27301-6900
(336) 383-9988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5008817
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008817
NC
Other
Enumeration date
08/31/2016
Last updated
05/02/2023
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