Broadus, Trent Michael
Broadus, Trent Michael is an sole proprietor health care provider with primary practice located at 1695 N Sunrise Way , Palm Springs CA 92262-3701. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Broadus, Trent Michael can be contacted via phone (760) 323-2118.Contact Information
Primary practice address
1695 N Sunrise Way
Palm Springs CA 92262-3701
Phone: (760) 323-2118
Fax: (760) 416-1651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9353539 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 570228 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95006008 | California |
Profile Details
| NPI number | 1780967364 |
|---|---|
| LBN Legal business name | Broadus, Trent Michael |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2011 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780967364 | NPPES |
| California | Other | 95006008 | CA NP LICENSE |
| California | Other | ARNP9353539 | CA NP LICENSE |
Popular Providers
-
Nielsen, Rosela
1150 N Indian Canyon Dr , Palm Springs CA 92262-4872 -
Mathew, Bony
558 S Paseo Dorotea Ste 6 , Palm Springs CA 92264-1429 -
Tovar, Jose
1100 N Palm Canyon Dr Suite 211, Palm Springs CA 92262-4414 -
Grimes, Pamela Carol
1695 N. Sunrise Way , Palm Springs CA 92262 -
Maher, Barbara A.
275 N El Cielo Rd , Palm Springs CA 92262-6972 -
Simon, Russell
4050 Airport Center Dr Ste B2 , Palm Springs CA 92264-1216 -
Taylor, Kaitlyn Elizabeth
275 N El Cielo Rd , Palm Springs CA 92262-6972 -
Nordlund, Kenneth Wayne
1150 N. Indian Canyon Drive , Palm Springs CA 92262