Individual
MRS. JUDY C BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, FNP
Contact information
Practice address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-3630
(434) 791-4088
Mailing address
4 S MAIN ST, CHATHAM, VA 24531-5436
(434) 791-3630
(434) 791-4088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024139541
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184624207
—
VA
Enumeration date
07/29/2005
Last updated
11/03/2013
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