CLYDENA JEAN BROUGHTON

NITRO, WV
NPI1588979314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WV  62736)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WV  APRN62736-NP-C)
363LF0000X Nurse Practitioner, Family
(Licence: VA  0024183957)
Enumeration Date2010-08-17
Last Update Date2024-10-16
Business Address
CLYDENA JEAN BROUGHTON FNP - C
4111 1ST AVE STE 3
NITRO, WV 25143-1345
Phone number: 304-755-4797
Mailing Address
CLYDENA JEAN BROUGHTON FNP - C
140 HICKORY RD # 4
CHARLESTON, WV 25314-1824
Phone number: 304-752-1669