Individual
CHRISTEEN IVY BROADDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604, LEXINGTON, KY 40536-0298
(859) 323-6047
(859) 257-3873
Mailing address
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604, LEXINGTON, KY 40536-0298
(859) 323-6047
(859) 257-3873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008794
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3008794
KY
Other
Enumeration date
07/23/2014
Last updated
01/23/2015
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