Broughton, Samantha Marie

Broughton, Samantha Marie is an individual health care provider with primary practice located at 201 Plaza Dr Ste A , Sikeston MO 63801-5110. 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, Samantha Marie can be contacted via phone (573) 472-2663.

Contact Information

Primary practice address
201 Plaza Dr Ste A Sikeston MO 63801-5110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019020226 Missouri

Profile Details

NPI number 1700447315
LBN Legal business name Broughton, Samantha Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Jun 25th, 2019 - about 7 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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