Broughton, Stacy Ann

Broughton, Stacy Ann is an sole proprietor health care provider with primary practice located at W161N9517 Blackfoot Dr , Menomonee Falls WI 53051-1565. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Broughton, Stacy Ann can be contacted via phone (414) 795-4257.

Contact Information

Primary practice address
W161N9517 Blackfoot Dr Menomonee Falls WI 53051-1565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 163175 Wisconsin

Profile Details

NPI number 1013590637
LBN Legal business name Broughton, Stacy Ann
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2021
Last updated May 2nd, 2021 - about 3 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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