HOLLY RENEE BROADWATER

JOHNSON CITY, TN
NPI1134164205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  7703)
Enumeration Date2006-06-20
Last Update Date2024-01-12
Business Address
HOLLY RENEE BROADWATER FNP
101 MED TECH PKWY SUITE 200
JOHNSON CITY, TN 37604-4007
Phone number: 423-232-6120
Mailing Address
HOLLY RENEE BROADWATER FNP
101 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604-4001
Phone number: 423-232-6120
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