Individual
EVELYN BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
946 EAST REED, HAYTI, MO 63851
(573) 359-1372
(573) 359-3601
Mailing address
6933 HIGHWAY 141 N, JONESBORO, AR 72401-0325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129762
MO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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