Individual
DIANA S BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 437-8390
(850) 437-8394
Mailing address
PO BOX 10824, BIRMINGHAM, AL 35202-0824
(205) 322-1808
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2040502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59170250
BLUE SHIELD
AL
01
—
59170251
BLUE SHIELD
AL
01
—
G2613
BLUE SHIELD
FL
01
—
P00148698
PALMETTO GBA - RR MEDICAR
—
Enumeration date
05/12/2006
Last updated
07/08/2007
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