Individual provider · Type 1 NPI
Stacy Ann Broughton, REGISTERED NURSE
General Practice Registered Nurse · Menomonee Falls, WI
NPI number
1013590637
Active
Practice location
W161N9517 Blackfoot Dr
Menomonee Falls, WI 53051-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 163175 (WI) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Menomonee Falls
About NPI 1013590637
Stacy Ann Broughton, REGISTERED NURSE's National Provider Identifier is 1013590637, issued on May 2, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Menomonee Falls, WI. The record was last updated on May 2, 2021.