Individual
ANGELA MORRIS BROADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
342 S SALISBURY ST, MOCKSVILLE, NC 27028-2526
(336) 940-7664
(336) 940-7664
Mailing address
342 S SALISBURY ST, MOCKSVILLE, NC 27028-2526
(336) 940-7664
(336) 940-7664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
281469
NC
163WH0200X
Home Health Registered Nurse
281469
NC
163WI0500X
Infusion Therapy Registered Nurse
281469
NC
163WM0705X
Medical-Surgical Registered Nurse
281469
NC
163WP0200X
Pediatric Registered Nurse
281469
NC
208000000X
Pediatrics Physician
281469
NC
Other
Enumeration date
01/08/2019
Last updated
02/07/2019
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