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
Phone: (414) 795-4257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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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