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Crystal R Broughton
Family Nurse Practitioner in Cleveland, Ohio
NPI 1043859911

Crystal R Broughton is a Family Nurse Practitioner based in Sparks Glencoe, OH and is specialized in Family. Crystal R Broughton practices in Cleveland, OH. The NPI Number for Crystal R Broughton is 1043859911 and holds a License No. 3013375 (Ohio).

The current practice location address for Crystal R Broughton is 200 Public Sq Ste 2300, Cleveland, OH and can be reached out via phone at 443-383-9300 and via fax at 855-866-8710.

Location: 200 Public Sq Ste 2300, Cleveland, OH, 21152-9477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043859911
Provider Name
Crystal R Broughton
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Public Sq Ste 2300, Cleveland, OH, 21152-9477
Phone Number
443-383-9300
Fax Number
855-866-8710
Provider Enumeration Date
12/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Public Sq Ste 2300
City
Cleveland
State
Ohio
Zip
44114-2309
Phone Number
443-383-9300
Fax Number
855-866-8710
person
Provider Business Mailing Address Details
Address
200 Public Sq Ste 2300
City
Cleveland
State
Ohio
Zip
44114-2309
Phone Number
443-383-9300
Fax Number
855-866-8710
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3013375 (Kentucky)
Definition
Definition to come...
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