Individual
MARIANNE BOYLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN-C
Contact information
Practice address
65 JAMES STREET, JFK JOHNSON REHABILITATION INSTITUTE, EDISON, NJ 08818
(908) 578-7994
Mailing address
19 SHERIDAN AVE, EAST BRUNSWICK, NJ 08816-4344
(732) 238-6289
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00006100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055832
—
NJ
Enumeration date
06/13/2007
Last updated
11/05/2015
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