Broadaway, Selina Louise

Broadaway, Selina Louise is an sole proprietor health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Broadaway, Selina Louise can be contacted via phone (888) 226-4343.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Phone: (888) 226-4343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 31660 Tennessee

Profile Details

NPI number 1124765714
LBN Legal business name Broadaway, Selina Louise
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2022
Last updated Feb 7th, 2024 - about 10 months 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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