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MRS. RAE MICHELLE BROADNAX NP
NPI 1437249570
Nurse Practitioner - Family in Fort Moore, GA

Active since October 12, 2006
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-3450(762) 408-8115 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Rae Michelle Broadnax Np NPPES

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

MRS. RAE MICHELLE BROADNAX NP (NPI 1437249570) is an individual family provider in Fort Moore, Georgia, licensed in Arizona (AP 1447) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1437249570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RAE MICHELLE BROADNAXCredential: NP
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102 · (762) 408-3450 · Fax (762) 408-8115
Phone(762) 408-3450
Fax(762) 408-8115
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1437249570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP 1447
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 117077 (AZ)
6600 VAN AALST BLVD, Fort Moore, GA 31905
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Rae Broadnax's NPI number?

The NPI number for Rae Broadnax is 1437249570. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Rae Broadnax located?

Rae Broadnax practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-3450.

What is Rae Broadnax's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rae Broadnax was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.