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

Ida Elise Broadwater, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1598195307

Ida Elise Broadwater, CRNP is an Adult Health Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Spruce Street 6 Silverstein
Philadelphia, PA 19104
Phone: (215) 615-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP013545 (PA)

Record details

NPI number1598195307
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 14, 2013
Last updated in NPPESDecember 20, 2013

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