NPI 1669728754

Ametha Broadwater, LPN

Practitioner Licensed Practical Nurse Bristol, VA

Practice location

Address: 151 Reedy St, Bristol, VA 24201-3126
Phone: (423) 646-1560

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002070904 (VA)

Other Licensed Practical Nurse providers in Virginia →

Registry record

NPI: 1669728754
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2012
Record last updated: 26 Jul 2012

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.