Individual
MRS. STEPHANIE KAY BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSM, CHC
Contact information
Practice address
1680 AIRPORT BLVD, PENSACOLA, FL 32504-8618
(850) 202-4150
(850) 477-3320
Mailing address
1680 AIRPORT BLVD, PENSACOLA, FL 32504-8618
(850) 202-4150
(850) 477-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3183892
FL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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