Broadnax, Candis L
Broadnax, Candis L is an individual health care provider with primary practice located at 1265 S Utica Ave Suite 300, Tulsa OK 74104-4243. 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. Broadnax, Candis L can be contacted via phone (918) 592-0999.Contact Information
Primary practice address
1265 S Utica Ave Suite 300
Tulsa OK 74104-4243
Phone: (918) 592-0999
Fax: (918) 592-1021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 94532 | Oklahoma |
Profile Details
| NPI number | 1740605781 |
|---|---|
| LBN Legal business name | Broadnax, Candis L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2014 |
| Last updated | Feb 27th, 2014 - about 11 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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