Nancy Helen Broda, PAC
Physician Assistant, Medical in Richmond, VA. Individual provider (NPI-1).
NPI number1265625545
StatusActive
Last updated in NPPESApr 28, 2016
Details
- NPI
- 1265625545
- Entity type
- Individual (NPI-1)
- Name
- Nancy Helen Broda
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2007
- Last updated
- Apr 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110002585 | VA | Yes |
Practice location
5855 Bremo RoadSuite 207
Richmond, VA 23226
Phone 804-237-1665 · Fax 804-237-1668
Mailing address
1800 Glenside DrSte 105
Richmond, VA 23226-3769
Phone 804-288-2762 · Fax 804-285-0088
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