Individual
MARISSA M BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 PLAZA DR STE 290, ROSTRAVER TOWNSHIP, PA 15012-4019
(724) 379-6850
(678) 553-0330
Mailing address
800 PLAZA DR STE 240, ROSTRAVER TOWNSHIP, PA 15012-4033
(724) 379-6850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020643
PA
Other
Enumeration date
11/01/2019
Last updated
09/18/2024
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