Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANN-TOY ELLSWORTH BROUGHTON
Active Sole ProprietorANN-TOY ELLSWORTH BROUGHTON is a Podiatric Surgery healthcare provider located in TETONIA, Idaho. NPI 1366097362 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · TETONIA, ID
Registration Details
- NPI Number
- 1366097362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2019 (7.0035658241789 yrs)
- Last Updated
- Aug 6, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
10570 RAMMELL MOUNTAIN RDTETONIA, ID, 834524971Browse ID providers · Browse ZIP 83452
- Phone
- 2084562758
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.