Broyles, Gwendolyn

Broyles, Gwendolyn is an sole proprietor health care provider with primary practice located at 840 Passover Rd , Osage Beach MO 65065-2834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broyles, Gwendolyn can be contacted via phone (573) 302-0319.

Contact Information

Primary practice address
840 Passover Rd Osage Beach MO 65065-2834
Phone: (573) 302-0319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X 2016032658 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2017008864 Missouri

Profile Details

NPI number 1497282008
LBN Legal business name Broyles, Gwendolyn
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2017
Last updated May 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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