Gabrielle Broadnax
Individual provider Active NPI Registered Nurse · Stamford, CT
NPI 1205450673 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1205450673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 804373 (NY)
- Practice address
- 154 Cold Spring Rd Apt 52
Stamford, CT 06905-4215 - Phone
- (706) 604-9093
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336776 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 804373 | NY | Yes |
| Registered Nurse | 163W00000X | 193627 | CT |
Addresses
Primary practice location
154 Cold Spring Rd Apt 52
Stamford, CT 06905-4215
Mailing address
154 Cold Spring Rd Apt 52
Stamford, CT 06905-4215
Other providers in Stamford, CT
- Briason Associates
- Lauren Briggs
- Annmarie Briones
- Kempton Brisport
- Valery Milagros Brito de Cedeno
- Broch Enterprises LLC
- Kenneth N. Broder
- Samuel Brodsky
- Nancy L. Bronson
- Allan Jack Bronstein
All providers in Stamford, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.