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Individual

SUSAN ELAINE BROYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2826 ROSS CLARK CIR STE 105, DOTHAN, AL 36301-2017
(888) 410-0317
Mailing address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-114743
AL
363LA2200X
Adult Health Nurse Practitioner
APRN11016000
FL

Other

Enumeration date
03/07/2012
Last updated
06/10/2024
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