Individual
CASSIE BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP,-FNP
Contact information
Practice address
325 REGENCY RIDGE DR, DAYTON, OH 45459-4252
(937) 436-3833
Mailing address
9941 GRABILL RD, NEW VIENNA, OH 45159-9620
(937) 402-1174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APRN.CNP.022463
—
OH
Enumeration date
03/27/2018
Last updated
03/27/2018
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