STACY SHELTON BROADDUS

EL PASO, TX
NPI1215215223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TX  5301741)
Enumeration Date2011-07-25
Last Update Date2011-07-25
Business Address
Mrs. STACY SHELTON BROADDUS NP, CNM
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-545-6490
Mailing Address
Mrs. STACY SHELTON BROADDUS NP, CNM
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-545-6490