Individual
MRS. BETTINA L BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2615 CULVER RD, 100, ROCHESTER, NY 14609-1716
(585) 336-5320
(585) 697-1598
Mailing address
2615 CULVER RD, ROCHESTER, NY 14609-1716
(585) 336-5320
(585) 697-1598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F430512-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03271890
—
NY
Enumeration date
07/13/2010
Last updated
11/20/2019
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