License holder summary

IDA ELISE BROADWATER is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for IDA ELISE BROADWATER is Philadelphia PA 19134. This licensed professional license is current. The license was granted 12/13/2013 and expired on 10/31/2016.

Pennsylvania

Department of State

IDA ELISE BROADWATER
Certified Registered Nurse Practitioner
License number
SP013545
Date granted
12/13/2013
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Philadelphia PA 19134
palicensing.org
ID 37701958
LAST UPDATED 2024-05-17 05:20:46 UTC

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