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

MS. Samantha Denise Broadwater, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1568032274

MS. Samantha Denise Broadwater, CRNA is a Certified Registered Nurse Anesthetist in Tifton, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4090 Old Ga Highway 3, Camilla, GA 31730-6341 — (229) 319-6291

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN270598 (GA)

Record details

NPI number1568032274
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 26, 2021
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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