Whitney Johnson Broadwell, RN is a
Registered Nurse - School based in Ware Shoals, South Carolina. Whitney Johnson Broadwell is licensed to practice in South Carolina (license number 203589) and her current practice location is
15269 Indian Mound Rd, Ware Shoals, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 456-7496.
NPI number for Whitney Johnson Broadwell is 1306185400 and her current mailing address is 15269 Indian Mound Rd, Ware Shoals, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306185400.
Provider's Profile
| Full Name | Whitney Johnson Broadwell |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - School |
|---|
| Location | 15269 Indian Mound Rd, Ware Shoals, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306185400
- Provider Enumeration Date: 02/08/2013
- Last Update Date: 02/08/2013
Medical Identifiers
Medical identifiers for Whitney Johnson Broadwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306185400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WS0200X | Registered Nurse - School | 203589 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Whitney Johnson Broadwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Whitney Johnson Broadwell, RN
15269 Indian Mound Rd,
Ware Shoals, SC 29692-3547
Ph: (864) 456-7496 | Whitney Johnson Broadwell, RN
15269 Indian Mound Rd,
Ware Shoals, SC 29692-3547
Ph: (864) 456-7496 |
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