Lisa Ann Broyles, FNP is a
Clinical Nurse Specialist - Long-term Care based in Centerville, Indiana. Lisa Ann Broyles is licensed to practice in Indiana (license number 28133360A) and her current practice location is
705 E Main St, Centerville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 855-3424.
NPI number for Lisa Ann Broyles is 1376376236 and her current mailing address is 705 E Main St, Centerville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376376236.
Provider's Profile
Full Name | Lisa Ann Broyles |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Long-term Care |
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Location | 705 E Main St, Centerville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376376236
- Provider Enumeration Date: 08/24/2024
- Last Update Date: 08/24/2024
Medical Identifiers
Medical identifiers for Lisa Ann Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376376236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SL0600X | Clinical Nurse Specialist - Long-term Care | 28133360A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Ann Broyles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Ann Broyles, FNP 705 E Main St, Centerville, IN 47330-9676 Ph: (765) 855-3424 | Lisa Ann Broyles, FNP 705 E Main St, Centerville, IN 47330-9676 Ph: (765) 855-3424 |
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