MRS. STACY ANN BROUGHTON REGISTERED NURSE
NPI 1013590637
Registered Nurse - General Practice in Menomonee Falls, WI
Active since May 02, 2021
About Mrs. Stacy Ann Broughton Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACY ANN BROUGHTON REGISTERED NURSE (NPI 1013590637) is an individual general practice provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (163175) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1013590637
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMRS. STACY ANN BROUGHTONCredential: REGISTERED NURSE
Location AddressW161N9517 BLACKFOOT DRMenomonee Falls, WI 53051-1565
Mailing AddressW161n9517 Blackfoot DrMenomonee Falls, WI 53051-1565 · (414) 795-4257
Phone(414) 795-4257
Sole ProprietorYes
Enumeration DateMay 2, 2021
NPPES CertifiedMay 2, 2021
✔ NPI 1013590637 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in WI · 163175
W161N9517 BLACKFOOT DR, Menomonee Falls, WI 53051
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013590637, enumerated as an "individual" on May 02, 2021.
The provider is located at W161N9517 BLACKFOOT DR MENOMONEE FALLS, WI 53051 and the phone number is (414) 795-4257.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
