Broughton, Patricia G
Broughton, Patricia G is an individual health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broughton, Patricia G can be contacted via phone (859) 655-6100.Contact Information
Primary practice address
1401 Madison Ave
Covington KY 41011-3313
Phone: (859) 655-6100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3006016 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3006016 | Kentucky |
Profile Details
NPI number | 1174766489 |
---|---|
LBN Legal business name | Broughton, Patricia G |
Credentials | ARNP, PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2009 |
Last updated | Jun 7th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174766489 | NPPES |
Kentucky | MEDICAID | 7100074300 |
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