RAE MICHELLE BROADNAX

FORT MOORE, GA
NPI1437249570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP 1447)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  117077)
Enumeration Date2006-10-12
Last Update Date2023-12-27
Business Address
Mrs. RAE MICHELLE BROADNAX NP
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-3450
Mailing Address
Mrs. RAE MICHELLE BROADNAX NP
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-3450