NPI | 1912751652 |
---|---|
Doing Business As | BROADER POSSIBILITIES CLINICAL SERVICES PLLC |
Entity Type | Organization |
Authorized Contact | NATASHIA BROADNAX Pmhnp Bc, Fnp C 910-467-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-04-17 |
Last Update Date | 2024-04-17 |