| Ametha Broadwater, LPN | |
|
151 Reedy St, Bristol, VA 24201-3126 | |
| (423) 646-1560 | |
| Not Available |
| Full Name | Ametha Broadwater |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 151 Reedy St, Bristol, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669728754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0002070904 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ametha Broadwater, LPN 151 Reedy St, Bristol, VA 24201-3126 Ph: () - | Ametha Broadwater, LPN 151 Reedy St, Bristol, VA 24201-3126 Ph: (423) 646-1560 |
Mr. Michael Karriker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 67 Pendergrass Rd, Bristol, VA 24201 Phone: 276-780-7431 | |
Mrs. Tina C Gentry, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 Cumberland St, Executive Plaza 4th Fl, Bristol, VA 24201 Phone: 276-645-4758 Fax: 276-669-9093 | |
Ms. Theresa D Morris, LICENSED PROFESSIONA Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 Phone: 276-645-4758 Fax: 276-669-9093 |