Individual
KRISTEN BROADDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1051 PINELOCH DR, #600, HOUSTON, TX 77062
(281) 990-9979
(281) 990-9916
Mailing address
1051 PINELOCH DR, #600, HOUSTON, TX 77062
(281) 990-9979
(281) 990-9916
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP130855
TX
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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