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BEVERLY BROADNAX
NPI 1477969665
Licensed Practical Nurse in Saint Petersburg, FL

Active since July 08, 2014
2814 EDWARDS AVE S, SAINT PETERSBURG, FL 33705(727) 642-6894 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Broadnax NPPES

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

BEVERLY BROADNAX (NPI 1477969665) is an individual licensed practical nurse in Saint Petersburg, Florida, licensed in Florida (PN142291) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1477969665
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBEVERLY BROADNAX
Location Address2814 EDWARDS AVE SSaint Petersburg, FL 33705-3653
Mailing Address2814 Edwards Ave SSaint Petersburg, FL 33705-3653 · (727) 642-6894
Phone(727) 642-6894
Sole ProprietorYes
Enumeration DateJuly 8, 2014
✔ NPI 1477969665 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 FL · PN142291
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.
2814 EDWARDS AVE S, Saint Petersburg, FL 33705
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Other Identifiers 1

Medicaid141557300FL

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 Beverly Broadnax's NPI number?

The NPI number for Beverly Broadnax is 1477969665. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Beverly Broadnax located?

Beverly Broadnax practices at 2814 Edwards Ave S, Saint Petersburg, FL 33705. The listed phone number is (727) 642-6894.

What is Beverly 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 Beverly Broadnax was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.