DEWLENE BROYLES RNCIBCLC NPI 1477871317

NPI Information

NPI: 1477871317
Provider Name: DEWLENE BROYLES, RNC,IBCLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
107 RAMBLING TRL
WEATHERFORD, TX
ZIP 76087
Phone: (817) 821-6970
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Dewlene Broyles, RNC,IBCLC is a lactation consultant registered nurse in Weatherford, TX. Dewlene Broyles, RNC,IBCLC NPI is 1477871317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 RAMBLING TRL
WEATHERFORD, TX
ZIP 76087-892
Phone: (817) 821-6970

The enumeration date for this NPI number is 5/15/2010 and was last updated on 1/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0102X	Registered Nurse	Maternal Newborn	222758	TEXAS	No
2	163WL0100X	Registered Nurse	Lactation Consultant	197-13815	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2826661	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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