SHANNON DEE BROADIE
NPI 1285811737
Registered Nurse in Ponca City, OK
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
★ Primary Specialty
(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
Also on File with NPPES
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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.