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RAVEN BROADEN
NPI 1508576786
Registered Nurse in Macomb, MI

Active since November 29, 2022
45964 BRENTWOOD ST, MACOMB, MI 48042(912) 308-0225 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2022, Nov 29, 2022 (2 updates tracked since 2022).

About Raven Broaden NPPES

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

RAVEN BROADEN (NPI 1508576786) is an individual registered nurse in Macomb, Michigan, licensed in Michigan (4704306601) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1508576786
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameRAVEN BROADEN
Location Address45964 BRENTWOOD STMacomb, MI 48042-5410
Mailing Address45964 Brentwood StMacomb, MI 48042-5410 · (912) 308-0225
Phone(912) 308-0225
Sole ProprietorYes
Enumeration DateNovember 29, 2022
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1508576786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MI · 4704306601
Definition
(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 hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
45964 BRENTWOOD ST, Macomb, MI 48042
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Other Names 1

Former Name (1)Raven Henry

Other Providers at the Same Location NPPES 14

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

JOHN FRASSON
Social Worker
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (586) 948-0665
CHRISTOPHER LUKE
Registered Nurse
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (586) 627-0024
LATOSIA RENA-DENISE LOGAN
Counselor
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (586) 948-0665
RICHARD KROPP R.N.
Registered Nurse
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (586) 948-0665
KAREN PFUERSTINGER LLPC
Counselor
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (616) 301-8000
HOPE NETWORK BEHAVIORAL HEALTH SERVICES
Community Based Residential Treatment Facility, Mental Illness
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (586) 948-0665
LINDA JOHNSON-MCCLENDON
Counselor (Professional)
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (248) 658-1116
BRYAN ALAN JONES
Case Manager/Care Coordinator
45964 BRENTWOOD ST
MACOMB, MI 48042
Macomb County (616) 301-8000

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 Raven Broaden's NPI number?

The NPI number for Raven Broaden is 1508576786. It was assigned to this individual provider in the NPPES registry on November 29, 2022. The provider is also known as Raven Henry.

Where is Raven Broaden located?

Raven Broaden practices at 45964 Brentwood St, Macomb, MI 48042. The listed phone number is (912) 308-0225.

What is Raven Broaden's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Raven Broaden was last updated on December 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.