IndividualActive
Adrian Broadway, REGISTERED NURSE
NPI 1710639497 · Registered Nurse · Grovetown, GA
Provider details
- NPI number
- 1710639497
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN184223 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
103 Long Creek Way
Grovetown, GA 30813-5275
Phone: (706) 951-4262
Approximate (ZIP-level) locationGet directions
Mailing address
103 Long Creek Way
Grovetown, GA 30813-5275
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2022-01-24
- Certified
- 2022-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.