Cori Clark Broadhead
Nurse Practitioner - Pediatrics
516 Quintard Ave
Anniston
, Alabama 36201-5711
Cori Clark Broadhead
Nurse Practitioner - Pediatrics
516 Quintard Ave
Anniston
, Alabama 36201-5711
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Cori Clark Broadhead
- 216 Elder St
- Irondale, AL
- Zip : 35210-2504
- Phone :
Second Address
- Cori Clark Broadhead
- 516 Quintard Ave
- Anniston, AL
- Zip : 36201-5711
- Fax : (256) 741-9795
- Phone : (256) 741-9799
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FAQs
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Is Cori Clark Broadhead a sole practitioner?
Is Cori Clark Broadhead accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 201914904 | AL |
National Provider Identifier
| NPI | 1033750401 |
|---|---|
| Provider Name | Cori Clark Broadhead |
| First Address | Irondale, AL 35210-2504 |
| Second Address | Anniston, AL 36201-5711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2019 |
| Last Update Date | 23/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.