Individual
KELSEA BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4733 CRABTREE LN, PLAINFIELD, IN 46168-8385
(317) 441-3044
Mailing address
4733 CRABTREE LN, PLAINFIELD, IN 46168-8385
(317) 441-3044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28258256A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013599A
IN
Other
Enumeration date
03/07/2023
Last updated
08/26/2024
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