Individual
DRAKE BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2019 E RIVERSIDE DR, ST GEORGE, UT 84790-8134
(801) 376-0330
Mailing address
3900 MADISON AVE, SANTA CLARA, UT 84765-5642
(801) 376-0330
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
6603242-3102
UT
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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