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

Diana Marie Broadway, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1265002554

Diana Marie Broadway, APRN-CNP is a Family Nurse Practitioner in Charleston, South Carolina. Licensed in Arkansas and South Carolina. Registered with an NPI since 2021.

Licensed in
AR, SC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

9313 Medical Plaza Dr Ste 202
Charleston, SC 29406-9176
Phone: (843) 572-1200
Fax: (843) 553-0424
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25919 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 216506 (AR)

Record details

NPI number1265002554
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

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