Broughton, Gwendolyn

Broughton, Gwendolyn is an individual health care provider with primary practice located at 5800 W 10Th St 101, Little Rock AR 72204-1752. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Broughton, Gwendolyn can be contacted via phone (501) 660-6886.

Contact Information

Primary practice address
5800 W 10Th St 101 Little Rock AR 72204-1752
Phone: (501) 660-6886
Fax: (501) 660-6838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L14757 Arkansas

Profile Details

NPI number 1356632996
LBN Legal business name Broughton, Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2011
Last updated May 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356632996 NPPES
Arkansas Other L14757 LPN

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