Individual
CHRISTINE BROADAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 W 59TH ST, NEW YORK, NY 10019-8022
(212) 523-5559
Mailing address
20 2ND ST APT 205, JERSEY CITY, NJ 07302-3074
(713) 492-4892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1014702
TX
363L00000X
Nurse Practitioner
311263
NY
363LA2200X
Adult Health Nurse Practitioner
1014702
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
311263
NY
363LG0600X
Gerontology Nurse Practitioner
1014702
TX
363LP2300X
Primary Care Nurse Practitioner
1014702
TX
Other
Enumeration date
03/04/2021
Last updated
03/16/2024
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