Broadway, Amanda

Broadway, Amanda is an individual health care provider with primary practice located at 1007 Jefferson St , Laurel MS 39440-4350. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Broadway, Amanda can be contacted via phone (601) 649-7802.

Contact Information

Primary practice address
1007 Jefferson St Laurel MS 39440-4350
Phone: (601) 649-7802
Fax: (601) 428-7841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X R866035 Mississippi

Profile Details

NPI number 1285828715
LBN Legal business name Broadway, Amanda
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Jul 24th, 2014 - about 12 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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