Individual provider · NPI-1
Victoria Pamela Roberts Broyles, RN
Registered Nurse, General Practice · Oklahoma City, OK
NPI number1972459121
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1972459121
- Entity type
- Individual (NPI-1)
- Name
- Victoria Pamela Roberts Broyles
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | R0047773 | OK | Yes |
Practice location
700 Ne 13th St.Oklahoma City, OK 73104
Phone 405-271-0276 · Fax 405-271-3969
Mailing address
700 Ne 13th St.Oklahoma City, OK 73104
Phone 405-271-0276 · Fax 405-271-3969
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