Individual
JOANNE BROOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP AG-ACNP
Contact information
Practice address
20010 CENTURY BLVD, GERMANTOWN, MD 20874-1115
(904) 514-4602
Mailing address
15479 FOG MOUNTAIN CIR, HAYMARKET, VA 20169-8154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174924
VA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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