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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Popular Providers
-
Herman, Rachel Ellen Ridenour
5975 Carmen Ave , Inver Grove Heights MN 55076-4416 -
Roach, Paula Beth
Bldg 4-2817 Reilly Road , Fort Bragg NC 28310-0001 -
Hess, Patricia B
51 N Dunlap St Ste 400 , Memphis TN 38105-4625 -
White-Collins, Andrea M
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Clark, Alisha
848 Adams Ave , Memphis TN 38103-2816 -
Russell, Haley
262 Danny Thomas Place Mail Stop 810, Memphis TN 38105 -
Baxter, Genevieve Lorwren
848 Adams Ave , Memphis TN 38103 -
Costic, Tammy L
262 Danny Thomas Pl , Memphis TN 38105-3678