Individual
MS. DIANA NICOLE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
5 VEGA DR, SHOREHAM, NY 11786-2306
(631) 566-4373
Mailing address
5 VEGA DR, SHOREHAM, NY 11786-2306
(631) 566-4373
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
780495
NY
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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