Individual
PATRICIA G BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP
Contact information
Practice address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006016
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006016
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100074300
—
KY
Enumeration date
04/16/2009
Last updated
06/07/2022
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