Leah Broyles, NP
Nurse Practitioner, Family in Marion, IN. Individual provider (NPI-1).
NPI number1750163960
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1750163960
- Entity type
- Individual (NPI-1)
- Name
- Leah Broyles
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 21, 2023
- Last updated
- Oct 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28186963A | IN | Yes |
Practice location
1391 N Baldwin AveMarion, IN 46952-1913
Phone 765-660-7900
Mailing address
1391 N Baldwin AveMarion, IN 46952-1913
Phone 765-660-7900
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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