Individual
CRYSTAL R BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PUBLIC SQ STE 2300, CLEVELAND, OH 44114-2309
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3013375
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025583
OH
Other
Enumeration date
12/24/2019
Last updated
10/20/2022
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