Letrelle Diane Broaden

Private Vehicle · Dickson, TN

Individual Active NPI

NPI number 1194409748

Practice location

100 Batey Cir Ste C
Dickson, TN 37055-1044
Phone
(877) 676-1399
Fax
(931) 236-0024

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NPI record

NPI
1194409748
Entity type
Individual (Type 1)
Enumeration date
June 14, 2023
Last updated
June 14, 2023
Certified
June 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X — —

About Letrelle Broaden

Letrelle Diane Broaden is a healthcare provider registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 100 Batey Cir Ste C, Dickson, TN 37055-1044. The NPI number 1194409748 was assigned on June 14, 2023 and the record was last updated on June 14, 2023.

Frequently asked questions

What is the NPI number of Letrelle Diane Broaden?

The NPI number is 1194409748.

What is the phone number of Letrelle Broaden?

The phone number listed for the practice location is (877) 676-1399.

Where is Letrelle Broaden located?

100 Batey Cir Ste C, Dickson, TN 37055-1044.

What is the taxonomy code for Letrelle Broaden?

The primary taxonomy code is 347C00000X – Private Vehicle.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.