Broadway, Lizzeth

Broadway, Lizzeth is an individual health care provider with primary practice located at 800 N State College Blvd , Fullerton CA 92831-3547. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broadway, Lizzeth can be contacted via phone (657) 278-3040.

Contact Information

Primary practice address
800 N State College Blvd Fullerton CA 92831-3547
Phone: (657) 278-3040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 559684 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 559684 California

Profile Details

NPI number 1972842185
LBN Legal business name Broadway, Lizzeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2013
Last updated Nov 21st, 2020 - about 4 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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