Broughton, Tonya M

Broughton, Tonya M is an individual health care provider with primary practice located at 1454 Market St , Charlestown IN 47111-1839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broughton, Tonya M can be contacted via phone (812) 503-5071.

Contact Information

Primary practice address
1454 Market St Charlestown IN 47111-1839
Phone: (812) 503-5071
Fax: (812) 503-5076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005212A Indiana

Profile Details

NPI number 1902202641
LBN Legal business name Broughton, Tonya M
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2014
Last updated Jul 10th, 2020 - about 4 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 1902202641 NPPES
Indiana MEDICAID 201267300

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