NPI 1194409748
Letrelle Diane Broaden
Practice location
- Address
- 100 Batey Cir STE C, Dickson, TN 37055-1044
- Phone
- (877) 676-1399
- Fax
- (931) 236-0024
Registered specialties
Private Vehicle
Primary
Registry record
- NPI
- 1194409748
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jun 2023
- Record last updated
- 14 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.