TASHEENA BROADNAX
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1033997242- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10000 ZANE AVE N, BROOKLYN PARK, MN, 554431400
- Phone
- (763) 528-6999
Specialties & Taxonomies
Physician Assistant
Primary License: MN #15206