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NPI Code Detail

MEDICARE: DR. MARGARET BROADHEAD DNP, CRNA

MEDICARE: DR. MARGARET BROADHEAD DNP, CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1-140266AL
2367500000XCertified Registered Nurse AnesthetistAP1047728TX

General Provider Information

NPI Number : 1629652367
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET BROADHEAD DNP, CRNA
Provider Business Mailing Address
First Line : 419 SHERWOOD CIR
Second Line :
City : CALERA
State : AL
Zip : 35040-6266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6225 N STATE HIGHWAY 161 STE 200
Second Line :
City : IRVING
State : TX
Zip : 75038-2241
Country : US
Telephone Number : 214-687-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 04/27/2026

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