Individual
MRS. AUDREY MARIA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7950
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00516
RI
363LF0000X
Family Nurse Practitioner
APRN00516
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346686102
—
RI
Enumeration date
05/20/2013
Last updated
07/10/2024
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