Broughton, Judy C

Broughton, Judy C is an individual health care provider with primary practice located at 705 Main St , Danville VA 24541-1803. 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, Judy C can be contacted via phone (434) 791-3630.

Contact Information

Primary practice address
705 Main St Danville VA 24541-1803
Phone: (434) 791-3630
Fax: (434) 791-4088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024139541 Virginia

Profile Details

NPI number 1184624207
LBN Legal business name Broughton, Judy C
Credentials MN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 3rd, 2013 - 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 1184624207 NPPES
Virginia MEDICAID 1184624207

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