Individual provider · Type 1 NPI
Miranda L. Broyles, FNP-BC
Family Nurse Practitioner · Charleston, WV
NPI number
1386980381
Active
Practice location
3200 Maccorkle Avenue Southwest
Charleston, WV 25314
Mailing address
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 66284 (WV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386980381
Miranda L. Broyles, FNP-BC's National Provider Identifier is 1386980381, issued on Dec 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, WV. The record was last updated on Jun 10, 2016.