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Contact Information

MANDY BROYLES, LPN
8216 NW 38TH TER
BETHANY, OK73008-3023
 Phone: 405-525-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MANDY BROYLES · (Female)

NPI Number 1659196335
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 11/19/2024
Last updated 11/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # L0071523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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