Individual
ANDREA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R209259
MD
163W00000X
Registered Nurse
RN1019862
DC
363LF0000X
Family Nurse Practitioner
RN1019862
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
LG-0001143
DE
Other
Enumeration date
06/20/2016
Last updated
03/19/2020
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