Individual
MRS. GWENDOLYN BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
840 PASSOVER RD, OSAGE BEACH, MO 65065-2834
(573) 302-0319
Mailing address
840 PASSOVER RD, OSAGE BEACH, MO 65065-2834
(573) 302-0319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017008864
MO
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
2016032658
MO
Other
Enumeration date
05/12/2017
Last updated
05/31/2024
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