Individual
CAROLINE JOHNSON BROUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195
(800) 223-2273
Mailing address
21100 BLAKELY SHORES DR, CORNELIUS, NC 28031-6606
(704) 562-7572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255719
NC
163W00000X
Registered Nurse
446222
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
022594
OH
363LA2100X
Acute Care Nurse Practitioner
5008093
NC
Other
Enumeration date
09/10/2015
Last updated
06/06/2018
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