CRYSTAL R BROUGHTON NPI 1043859911

NPI Information

NPI: 1043859911
Provider Name: CRYSTAL R BROUGHTON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
200 PUBLIC SQ STE 2300
CLEVELAND, OH
ZIP 44114
Phone: (443) 383-9300
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Crystal R Broughton is a family nurse practitioner in Cleveland, OH with 5 years of experience. Crystal R Broughton NPI is 1043859911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 PUBLIC SQ STE 2300
CLEVELAND, OH
ZIP 44114-309
Phone: (443) 383-9300
Fax: (855) 866-8710

The NPI 1043859911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/24/2019 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3013375	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.025583	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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