Teri Broadnax, LDN, CNS

NPI #1447964499 in Park Forest, Illinois

Provider Information

NPI Number: 1447964499
Entity Type: Individual
Name: Teri Broadnax, LDN, CNS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: LDN, CNS
Enumeration Date: Jan 12, 2023
Last Updated: Jan 12, 2023

Practice Location

Address: 20 FOREST BLVD
City: Park Forest
State: Illinois
ZIP Code: 60466-1753
Phone: (630) 890-3081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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