Broadnax, Rae Michelle

Broadnax, Rae Michelle is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broadnax, Rae Michelle can be contacted via phone (762) 408-3450.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Moore GA 31905-2102
Phone: (762) 408-3450
Fax: (762) 408-8115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 117077 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 1447 Arizona

Profile Details

NPI number 1437249570
LBN Legal business name Broadnax, Rae Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 27th, 2023 - about last year

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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