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

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