Individual
MRS. KATHERINE MARIE O'BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8655 MARKET ST, MENTOR, OH 44060-4406
(440) 701-7620
(440) 701-7621
Mailing address
11395 SADDLEWOOD LN, CONCORD TOWNSHIP, OH 44077-8965
(855) 247-1940
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP021241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256792
—
OH
Enumeration date
07/19/2017
Last updated
03/07/2023
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