Broyles, Miranda L

Broyles, Miranda L is an sole proprietor health care provider with primary practice located at 3200 Maccorkle Avenue Southwest , Charleston WV 25314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broyles, Miranda L can be contacted via phone (304) 388-5432.

Contact Information

Primary practice address
3200 Maccorkle Avenue Southwest Charleston WV 25314
Phone: (304) 388-5432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 66284 West Virginia

Profile Details

NPI number 1386980381
LBN Legal business name Broyles, Miranda L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2012
Last updated Jun 10th, 2016 - about 10 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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