NPI 1750616645 · live from the CMS NPI Registry
Michelle Aleta Broadnax, M.D.
Psychiatry & Neurology, Psychiatry in Washington, DC. National Provider Identifier 1750616645, active.
NPI record
| NPI | 1750616645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1313 New York Ave Nw, Mcclendon Center, Washington, DC 20005 |
| Practice phone | 202-737-2316 |
| Mailing address | 9705 Poling Ter, Fort Washington, MD 20744 |
| Enumerated | October 9, 2009 |
| Last updated | October 9, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | MD17992 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.