Individual
MICHELLE L BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
603 HAIFLEIGH ST, FRANKLIN, LA 70538-3734
(337) 828-9092
Mailing address
380 W PALMETTO PARK RD UNIT 408C, BOCA RATON, FL 33432-6719
(601) 669-1038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
08068
LA
363LF0000X
Family Nurse Practitioner
9468755
FL
363LF0000X
Family Nurse Practitioner
Primary
R855964
MS
Other
Enumeration date
09/26/2008
Last updated
10/19/2017
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