SHANNON DEE BROADIE
NPI 1285811737
Registered Nurse in Ponca City, OK

Active since January 28, 2008
721 E GRAND AVE, PONCA CITY, OK 74601(580) 749-5139 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Dee Broadie NPPES

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

SHANNON DEE BROADIE (NPI 1285811737) is an individual registered nurse provider in Ponca City, Oklahoma, licensed in Oklahoma (R0085845) and active in the NPI registry since January 2008.Information from the official NPPES registry record, last updated March 4, 2008.

NPPES Registry Identity

NPI1285811737
Entity TypeIndividualFemale
Provider Legal NameSHANNON DEE BROADIE
Location Address721 E GRAND AVEPonca City, OK 74601-5513
Mailing Address721 E Grand AvePonca City, OK 74601-5513 · (580) 749-5139
Sole ProprietorYes
Enumeration DateJanuary 28, 2008
Last NPPES UpdateMarch 4, 2008
NPI 1285811737 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Registered Nurse

Taxonomy 163W00000X · Nursing Service Providers

Licensed in OK · R0085845

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a… Show more

721 E GRAND AVE, Ponca City, OK 74601

Also on File with NPPES

Other Names1
Shannon Dee Cameron-broadie Rn (Professional Name (2))

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285811737, enumerated as an "individual" on January 28, 2008.

The provider is located at 721 E GRAND AVE PONCA CITY, OK 74601 and the phone number is (580) 749-5139.

Registered Nurse with taxonomy code 163W00000X.