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

Staci Broughton

Individual provider Surgical Technologist · NPI 1962847822

Staci Broughton is a Surgical Technologist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5101 N 34th St
Broken Arrow, OK 74014-1710
Phone: (918) 605-6796
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 145868 (OK)
Surgical Technologist Taxonomy 246ZS0410X · Licence 117099 (OK)

Record details

NPI number1962847822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESOctober 15, 2013
Mailing addressPo Box 618, Coppell, TX 75019-0618

Other providers in Broken Arrow