Broad, S Dianne
Broad, S Dianne is an individual health care provider with primary practice located at 1 Morrow Way Mclachlan Student Health Center, Slippery Rock PA 16057-1326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Broad, S Dianne can be contacted via phone (724) 738-2052.Contact Information
Primary practice address
1 Morrow Way Mclachlan Student Health Center
Slippery Rock PA 16057-1326
Phone: (724) 738-2052
Fax: (724) 738-2078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | UP001335K | Pennsylvania |
Profile Details
| NPI number | 1902950868 |
|---|---|
| LBN Legal business name | Broad, S Dianne |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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