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

Mrs. Rae Michelle Broadnax, NP

Individual provider Primary Care Nurse Practitioner · NPI 1437249570

Mrs. Rae Michelle Broadnax, NP is a Primary Care Nurse Practitioner in Fort Moore, Georgia. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-3450
Fax: (762) 408-8115
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 AP 1447 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 117077 (AZ)

Record details

NPI number1437249570
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESDecember 27, 2023
Certification dateDecember 21, 2023