Lookup NPI Numbers from the NPI Registry
NPI Profile for MALLORY L BROADAWAY in TRUMANN, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1881023828 |
|
| Status | Active | |
| Credentials | APRN-CNP | |
| Entity | Individual | |
| Enumeration date | 11/08/2013 | |
| Last updated | 05/03/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MALLORY L BROADAWAY
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MALLORY L BROADAWAY, APRN-CNP