MEDICARE: STEPHANIE BROADHURST MSN, RN, IBCLC

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
1	163WL0100X	Lactation Consultant (Registered Nurse)	655419	TX

General Provider Information

NPI Number	:	1992569826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BROADHURST MSN, RN, IBCLC

Provider Business Mailing Address
First Line	:	14419 FAIR KNOLL WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14419 FAIR KNOLL WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2029
Country	:	US
Telephone Number	:	281-804-4337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

Similar Medicare Providers

1912080292 — LINDA JO PATTERSON MS, PT, OCS
Practice Location Address:

7447 CAMBRIDGE , #108
HOUSTON, TX
77054-2029

Practice Phone: 713-398-7447
Practice Fax: 713-797-1223

1568744720 — SINHA MEDICAL CLINIC INC
Practice Location Address:

7457 HARWIN DR STE 330
HOUSTON, TX
77036-2029

Practice Phone: 713-783-1003
Practice Fax: 713-783-1013

1255602744 — CHRISTINA MUSGRAVE R.D, L.D
Practice Location Address:

6307B RODRIGO ST
HOUSTON, TX
77007-2029

Practice Phone: 713-502-3055
Practice Fax:

1043582414 — INTEGRATED HEALTH, INC.
Practice Location Address:

6307 RODRIGO ST , #B
HOUSTON, TX
77007-2029

Practice Phone: 281-653-7762
Practice Fax:

1821542705 — HODGES HELPING HAND
Practice Location Address:

12630 LOCKBOURNE DR
HOUSTON, TX
77038-2029

Practice Phone: 281-300-8717
Practice Fax:

1538826136 — AVENTUS HEALTH CARE, LLC
Practice Location Address:

2147 GREENBRIAR COLONY DR
HOUSTON, TX
77032-2029

Practice Phone: 832-630-4717
Practice Fax:

Directions to “ STEPHANIE BROADHURST MSN, RN, IBCLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.