MRS. Stacy Ann Broughton, REGISTERED NURSE
NPI #1013590637 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1013590637
- Entity Type
- Individual
- Name
- MRS. Stacy Ann Broughton, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- REGISTERED NURSE
- Enumeration Date
- May 2, 2021
- Last Updated
- May 2, 2021
Practice Location
- Address
- W161N9517 BLACKFOOT DR
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-1565
- Phone
- (414) 795-4257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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