National Provider Identifier

Bettina L Broughton, NP

Bettina L Broughton, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Rochester, NY and a listed phone number of (585) 336-5320.

NPI 1831401314Rochester, NYAcute Care Nurse Practitioner

Profile Overview

NPI
1831401314
Provider Type
Individual
Primary Specialty
Acute Care Nurse Practitioner
Enumeration Date
July 13, 2010
Last Updated
November 20, 2019

Practice Location

  • 2615 Culver RD
  • 100
  • Rochester, NY 14609-1716

Phone: (585) 336-5320

Mailing Address

  • 2615 Culver RD
  • Rochester, NY 14609-1716

Specialties

  • Acute Care Nurse Practitioner (363LA2100X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1831401314
Entity Type
Individual
Last Name
Broughton
First Name
Bettina
Middle Name
L
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
2615 Culver RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1716
Mailing Country
US
Mailing Phone
(585) 336-5320
Mailing Fax
(585) 697-1598
Practice Street Address
2615 Culver RD
Practice Address Line 2
100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1716
Practice Country
US
Practice Phone
(585) 336-5320
Practice Fax
(585) 697-1598
Enumeration Date
July 13, 2010
Last Updated
November 20, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Acute Care Nurse Practitioner (363LA2100X), Nurse Practitioner (363L00000X)
Other Identifiers
03271890 (NY)