IndividualActive
Stacy Broughton, REGISTERED NURSE
NPI 1013590637 · General Practice Registered Nurse · Menomonee Falls, WI
Provider details
- NPI number
- 1013590637
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 163175 (WI)
Practice location
W161n9517 Blackfoot Dr
Menomonee Falls, WI 53051-1565
Phone: (414) 795-4257
Mailing address
W161n9517 Blackfoot Dr
Menomonee Falls, WI 53051-1565
Registry dates
- Enumerated
- 2021-05-02
- Last updated
- 2021-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.