IndividualActive
Ametha Broadwater, LPN
NPI 1669728754 · Licensed Practical Nurse · Bristol, VA
Provider details
- NPI number
- 1669728754
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0002070904 (VA)
Mailing address
151 Reedy St
Bristol, VA 24201-3126
Registry dates
- Enumerated
- 2012-07-26
- Last updated
- 2012-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.