Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Broadnax

Individual provider Licensed Practical Nurse · NPI 1477969665

Beverly Broadnax is a Licensed Practical Nurse in Saint Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

2814 Edwards Ave S
Saint Petersburg, FL 33705-3653
Phone: (727) 642-6894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN142291 (FL)

Record details

NPI number1477969665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014
Mailing address2814 Edwards Ave S, Saint Petersburg, FL 33705-3653

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