Provider Demographics
NPI:1750144382
Name:BROOMES, ABRIANNA LEA (CRNP, FNP)
Entity type:Individual
Prefix:MS
First Name:ABRIANNA
Middle Name:LEA
Last Name:BROOMES
Suffix:
Gender:F
Credentials:CRNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8970 COTTONGRASS ST
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4952
Mailing Address - Country:US
Mailing Address - Phone:301-705-7671
Mailing Address - Fax:
Practice Address - Street 1:3064 WALDORF MARKET PL
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4871
Practice Address - Country:US
Practice Address - Phone:877-355-1795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR239243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily