Individual provider · Type 1 NPI
Caroline Johnson Broughman, RN
Acute Care Nurse Practitioner · Cleveland, OH
NPI number
1386012185
Active
Practice location
9500 Euclid Ave
Cleveland, OH 44195
Mailing address
21100 Blakely Shores Dr
Cornelius, NC 28031-6606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 446222 (OH) |
| Registered Nurse | 163W00000X | 255719 (NC) |
| Acute Care Nurse Practitioner | 363LA2100X | 5008093 (NC) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 022594 (OH) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1386012185
Caroline Johnson Broughman, RN's National Provider Identifier is 1386012185, issued on Sep 10, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Jun 6, 2018.