Abrianna Lea Broomes, CRNP, FNP
Nurse Practitioner, Family in Waldorf, MD. Individual provider (NPI-1).
NPI number1750144382
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1750144382
- Entity type
- Individual (NPI-1)
- Name
- Ms. Abrianna Lea Broomes
- Credential
- CRNP, FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R239243 | MD | Yes |
Practice location
3064 Waldorf Market PlWaldorf, MD 20603-4871
Phone 877-355-1795
Mailing address
8970 Cottongrass StWaldorf, MD 20603-4952
Phone 301-705-7671
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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