Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal R Broughton

Individual provider Family Nurse Practitioner · NPI 1043859911

Crystal R Broughton is a Family Nurse Practitioner in Cleveland, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky and Ohio.

Licensed in
KY, OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

200 Public Sq Ste 2300
Cleveland, OH 44114-2309
Phone: (443) 383-9300
Fax: (855) 866-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659 — (443) 383-9300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.025583 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3013375 (KY)

Record details

NPI number1043859911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 24, 2019
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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