Individual
MRS. S DIANNE BROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 MORROW WAY, MCLACHLAN STUDENT HEALTH CENTER, SLIPPERY ROCK, PA 16057-1326
(724) 738-2052
(724) 738-2078
Mailing address
1 MORROW WAY, MCLACHLAN STUDENT HEALTH CENTER, SLIPPERY ROCK, PA 16057-1326
(724) 738-2052
(724) 738-2078
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP001335K
PA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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