Doctor Name: | MRS. STEPHANIE ZIMMERMAN BROUGHTON |
NPI Number: | 1912246133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN00047708 |
Business Practice Address: | 22200 Brier Rd Brier, WA - 980368047 |
Business Phone Number: | 4254311065 |
Business Fax Number: | 4254317272 |
Mailing Address: | 22200 Brier Rd, BRIER |
State: | WA |
Postal Code: | 980368047 |
Phone Number: | 4254311065 |
Fax Number: | 4254317272 |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN00047708 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |