Individual
MRS. CANDIA MARIE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4200 LAWRENCEBURG RD, FRANKFORT, KY 40601-8936
(502) 227-4821
(502) 227-3013
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 974-3447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012693
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084003
RN
KY
01
—
3012693
APRN
KY
Enumeration date
09/19/2018
Last updated
05/19/2022
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