| Name: | Dr. Ritchelle Broadnax LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Merged |
| Date of registration: | 22 Mar 2018 (7 years ago) |
| Entity Number: | 000-513-594 |
| Register Number: | 000513594 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 3066 ZELDA ROAD #331MONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750852950 | 2018-12-16 | 2023-02-06 | 3066 ZELDA RD # 331, MONTGOMERY, AL, 361062651, US | 5303 VAUGHN RD STE 102, MONTGOMERY, AL, 361161120, US | |||||||||||||
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| Phone | +1 800-221-1705 |
Authorized person
| Name | RITCHELLE V BROADNAX |
| Role | NURSE PRACTITIONER/OWNER |
| Phone | 2055400083 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROADNAX, RITCHELLE V | Agent | 3066 ZELDA RD #331MONTGOMERY, AL 36106-3400 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
