Latricia Broaddus
Latricia Broaddus is a Nurse Practitioner in Aylett, Virginia. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia.
- Years since qualifying
- 5
- Licensed in
- VA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
5833 Richmond Tappahannock Hwy Ste 106BAylett, VA 23009-3007
Phone: (042) 230-0298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 0024181570 (VA) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1003383688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2018 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |
| Mailing address | Po Box 13, Saint Stephens Church, VA 23148-0013 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Aylett
-
B W Innovative Affiliate Solutions
359 Laurel Dr, Aylett, VA 23009 · (804) 258-1300
-
Its All About Caring LLC
5833 Richmond Tappahannock Hwy Ste 106B, Aylett, VA 23009-3007 · (804) 223-0029