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BROADVIEW ENTERPRISES LLC NPI 1093322984


NPI Information

NPI: 1093322984
Provider Name: BROADVIEW ENTERPRISES LLC

Doing Business As: BROADVIEW MEDICAL CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4222 BELL RD STE 5
NEWBURGH, IN
ZIP 47630
Phone: (812) 758-3032
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BROADVIEW ENTERPRISES LLC is a family nurse practitioner in Newburgh, IN. BROADVIEW ENTERPRISES LLC NPI is 1093322984. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Broadview Medical Center.

The provider's business location address is:

4222 BELL RD STE 5
NEWBURGH, IN
ZIP 47630-541
Phone: (812) 758-3032
Fax: (812) 490-1025

The provider's authorized official is Donald D Vaughn .
The authorized official title is President and has the following contact phone number (812) 758-3032.

The enumeration date for this NPI number is 9/25/2020 and was last updated on 2/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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