Ezell, Luvenia Lea Broadnax
Ezell, Luvenia Lea Broadnax is an sole proprietor health care provider with primary practice located at 1126 Big Bethel Rd , Hampton VA 23666-1906. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ezell, Luvenia Lea Broadnax can be contacted via phone (757) 776-5843.Contact Information
Primary practice address
1126 Big Bethel Rd
Hampton VA 23666-1906
Phone: (757) 776-5843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 0002095818 | Virginia |
Profile Details
| NPI number | 1588315857 |
|---|---|
| LBN Legal business name | Ezell, Luvenia Lea Broadnax |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2022 |
| Last updated | Jan 18th, 2022 - about 3 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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