NPI 1245743509

Destiny Broaden, AUD

Practitioner Audiologist Henderson, NV

Practice location

Address: 98 E Lake Mead Pkwy STE 105, Henderson, NV 89015-6443
Phone: (702) 861-1183
Mailing address: 5815 Nuevo Leon St Unit 7, North Las Vegas, NV 89031-4100

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence A2181 (NV)

Other Audiologist providers in Nevada →

Registry record

NPI: 1245743509
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2017
Record last updated: 18 Jan 2021

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.