Individual
NATHAN R BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5543
(541) 472-7267
(812) 237-0182
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201407290CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
RN 9299572
FL
Other
Enumeration date
06/19/2012
Last updated
12/11/2014
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