Individual provider · Type 1 NPI
Susan Elaine Broyles, CRNP
Adult Health Nurse Practitioner · Dothan, AL
NPI number
1720352818
Active
Practice location
2826 Ross Clark Cir Ste 105
Dothan, AL 36301-2017
Mailing address
480 Honeysuckle Rd
Dothan, AL 36305-1156
Other practice locations
- Palmetto Infusion, 1827 Harrison Ave, Panama City, FL 32405-3240 · (888) 410-0317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11016000 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 1-114743 (AL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1720352818
Susan Elaine Broyles, CRNP's National Provider Identifier is 1720352818, issued on Mar 7, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dothan, AL. The record was last updated on Jun 10, 2024.