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

Gabrielle Broadnax

Individual provider Licensed Practical Nurse · NPI 1205450673

Gabrielle Broadnax is a Licensed Practical Nurse in Bronx, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

3555 Bruckner Blvd
Bronx, NY 10461-5004
Phone: (718) 828-2666
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 336776 (NY)

Record details

NPI number1205450673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address3555 Bruckner Blvd, Bronx, NY 10461-5004

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