NPI 1366097362

Ann-Toy Ellsworth Broughton

Practitioner Attendant Care Provider Tetonia, ID

Practice location

Address: 10570 Rammell Mountain Rd, Tetonia, ID 83452-4971
Phone: (208) 456-2758

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Idaho →

Registry record

NPI: 1366097362
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2019
Record last updated: 6 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.