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Contact Information

MIRANDA L BROYLES, FNP-BC
3200 MACCORKLE AVENUE SOUTHWEST
CHARLESTON, WV25314
 Phone: 304-388-5432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIRANDA L BROYLES · (Female)

NPI Number 1386980381
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/19/2012
Last updated 06/10/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 66284
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
  • THOMAS MEMORIAL HOSPITAL - (Acute Care)
    4605 MACCORKLE AVE SW
    SOUTH CHARLESTON, WV 25309
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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