Individual
MRS. GWENDOLYN BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 W 10TH ST, 101, LITTLE ROCK, AR 72204-1752
(501) 660-6886
(501) 660-6838
Mailing address
1867 S CROSS ST, LITTLE ROCK, AR 72206-1056
(501) 554-3157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L14757
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L14757
LPN
AR
Enumeration date
05/01/2011
Last updated
05/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us