GABRIELLE BROADNAX
NPI 1205450673
Licensed Practical Nurse in Bronx, NY

Q: What is Gabrielle Broadnax's NPI number?

The NPI number for Gabrielle Broadnax is 1205450673. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Gabrielle Broadnax's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since June 02, 2020

3555 BRUCKNER BLVD, BRONX, NY 10461(718) 828-2666 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Gabrielle Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIELLE BROADNAX (NPI 1205450673) is an individual licensed practical nurse in Bronx, New York, licensed in New York (336776) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1205450673

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGABRIELLE BROADNAX

Location Address3555 BRUCKNER BLVDBronx, NY 10461-5004

Mailing Address3555 Bruckner BlvdBronx, NY 10461-5004

Phone(718) 828-2666

Sole ProprietorNo

Enumeration DateJune 2, 2020

NPPES CertifiedJune 2, 2020

✔ NPI 1205450673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 336776

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3555 BRUCKNER BLVD, Bronx, NY 10461

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabrielle Broadnax's NPI number?

The NPI number for Gabrielle Broadnax is 1205450673. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Gabrielle Broadnax located?

Gabrielle Broadnax practices at 3555 Bruckner Blvd, Bronx, NY 10461. The listed phone number is (718) 828-2666.

What is Gabrielle Broadnax's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gabrielle Broadnax was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.