IndividualActive
Selina Broadaway, CPNP-AC
NPI 1124765714 · Critical Care Pediatric Nurse Practitioner · Memphis, TN
Provider details
- NPI number
- 1124765714
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 31660 (TN)
Mailing address
848 Adams Ave
Memphis, TN 38103-2816
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.