| Mrs Rae Michelle Broadnax, NP | |
|
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
| (762) 408-3450 | |
| (762) 408-8115 |
| Full Name | Mrs Rae Michelle Broadnax |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437249570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 117077 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP 1447 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rae Michelle Broadnax, NP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-3450 | Mrs Rae Michelle Broadnax, NP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-3450 |
Amaza Tripp, MSN, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273 | |
Dr. Kevin Jones, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 706-626-1619 | |
Donna Mills, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2604 | |
Mr. Robert Louis Carter Ii, RN, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2350 | |
Lauren Jensen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-544-8816 Fax: 762-408-8123 | |
Dr. Shanley Lauren Brasher, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2273 | |
Leslie Pandy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273 |