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

Mrs. Stacy Ann Broughton, REGISTEREDNURSE

Individual provider General Practice Registered Nurse · NPI 1013590637

Mrs. Stacy Ann Broughton, REGISTEREDNURSE is a General Practice Registered Nurse in Menomonee Falls, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

W161N9517 Blackfoot Dr
Menomonee Falls, WI 53051-1565
Phone: (414) 795-4257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 163175 (WI)

Record details

NPI number1013590637
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMay 2, 2021
Last updated in NPPESMay 2, 2021
Certification dateMay 2, 2021

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