Amanda Marie Broadbent
Nurse Anesthetist, Certified Registered in Cleveland, OH. Individual provider (NPI-1).
NPI number1619706934
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1619706934
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Broadbent
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2024
- Certification date
- May 20, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0021277 | OH | Yes |
| 163W00000X | Registered Nurse | RN.415766 | OH |
Practice location
9500 Euclid AveCleveland, OH 44195-0001
Phone 216-444-2200
Mailing address
12228 Moss Point RdStrongsville, OH 44136-3506
Phone 440-821-6857
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