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Individual

HANNAH BROADWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
289 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-0005
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70496
WV

Other

Enumeration date
06/04/2015
Last updated
10/14/2025
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