MEDICARE: MELISSA BROYLES CST-FA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246W00000X	Cardiology Technician	485276	TN

General Provider Information

NPI Number	:	1457507303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA BROYLES CST-FA

Provider Business Mailing Address
First Line	:	1405 HARWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-1210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 CHURCH ST LOWR LEVER
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2000
Country	:	US
Telephone Number	:	615-515-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	08/12/2008

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Directions to “ MELISSA BROYLES CST-FA” Practice Location

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