National Provider Identifier

Amanda Broadnax, RN, BSN

Amanda Broadnax, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (585) 690-1217.

NPI 1275488199Buffalo, NYRegistered Nurse

Profile Overview

NPI
1275488199
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
March 04, 2026
Last Updated
March 04, 2026

Practice Location

  • 63 Earl Pl
  • Buffalo, NY 14211-2904

Phone: (585) 690-1217

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1275488199
Entity Type
Individual
Last Name
Broadnax
First Name
Amanda
Credential
RN, BSN
Mailing Street Address
63 Earl Pl
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14211-2904
Mailing Country
US
Mailing Phone
(585) 690-1217
Practice Street Address
63 Earl Pl
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-2904
Practice Country
US
Practice Phone
(585) 690-1217
Enumeration Date
March 04, 2026
Last Updated
March 04, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
March 04, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)