Broadwater, Ida Elise
Broadwater, Ida Elise is an individual health care provider with primary practice located at 3400 Spruce Street 6 Silverstein, Philadelphia PA 19104. 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. Broadwater, Ida Elise can be contacted via phone (215) 615-4949.Contact Information
Primary practice address
3400 Spruce Street 6 Silverstein
Philadelphia PA 19104
Phone: (215) 615-4949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | SP013545 | Pennsylvania |
Profile Details
| NPI number | 1598195307 |
|---|---|
| LBN Legal business name | Broadwater, Ida Elise |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2013 |
| Last updated | Dec 20th, 2013 - 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.
Popular Providers
-
Foley, Anne M
3400 Spruce Street 4 Silverstein, Philadelphia PA 19104-4206 -
Ruppert, Linda
3509 N Broad St , Philadelphia PA 19140-4105 -
Zieber, Nancy Anne
230 W Washington Sq Poha, Farm Journal Building, 2Nd Floor, Philadelphia PA 19106-3500 -
Lorenzo, Amy Campbell
3400 Spruce St 4 Silverstein Building, Philadelphia PA 19104-4206 -
Disilva, Mary L
3400 Spruce St 3 Silverstein, Philadelphia PA 19104-4206 -
Mcmenamin, Erin M
3400 Civic Center Blvd 2Trc, Philadelphia PA 19104-5127 -
Hesson, Louise Ann
3400 Spruce St 4 Silverstein, Philadelphia PA 19104-4238 -
Prechtel Dunphy, Elizabeth Ann
51 N 39Th St Medical Arts Building, Suite 103, Philadelphia PA 19104-2640