Individual
FRANCINE RUTH BROADWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26930
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033507000
—
WV
05
—
2240766
—
OH
Enumeration date
10/10/2006
Last updated
02/02/2016
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