institution
Broadway Family Clinic Llc
Psychiatric/Mental Health Nurse Practitioner in Bloomfield, Missouri
NPI 1427566694

Broadway Family Clinic Llc is a Psychiatric/Mental Health Nurse Practitioner based in Bloomfield, MO and is specialized in Psychiatric/Mental Health. Broadway Family Clinic Llc practices in Bloomfield, MO. The NPI Number for Broadway Family Clinic Llc is 1427566694 and holds a License No. 2014044250 (Missouri).

The current practice location address for Broadway Family Clinic Llc is 612 State Highway 25 S, Bloomfield, MO and can be reached out via phone at 573-803-3995 and via fax at 573-803-5222.

Location: 612 State Highway 25 S, Bloomfield, MO, 63825-9566
institution
Provider Profile Details
NPI Number
1427566694
Provider Name
Broadway Family Clinic Llc
Credential
Provider Entity Type
Organization
Address
612 State Highway 25 S, Bloomfield, MO, 63825-9566
Phone Number
573-803-3995
Fax Number
573-803-5222
Provider Enumeration Date
01/22/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
612 State Highway 25 S
City
State
Zip
63825-9566
Phone Number
573-803-3995
Fax Number
573-803-5222
person
Provider Business Mailing Address Details
Address
612 State Highway 25 S
City
State
Zip
63825-9566
Phone Number
573-803-3995
Fax Number
573-803-5222
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
126560 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2014044250 (Missouri)
Definition
Definition to come...
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