Individual provider · Type 1 NPI
Samantha Marie Broughton, FNP-C
Family Nurse Practitioner · Sikeston, MO
NPI number
1700447315
Active
Practice location
201 Plaza Dr Ste A
Sikeston, MO 63801-5110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2019020226 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1700447315
Samantha Marie Broughton, FNP-C's National Provider Identifier is 1700447315, issued on Jun 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sikeston, MO. The record was last updated on Jun 25, 2019.