BRENDA JEAN BOYLE PMHNP-BC NPI 1003280934

NPI Information

NPI: 1003280934
Provider Name: BRENDA JEAN BOYLE, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1455 EAST 3RD STREET
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100
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Brenda Jean Boyle, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Bernardino, CA with 11 years of experience. Brenda Jean Boyle, PMHNP-BC NPI is 1003280934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1455 EAST 3RD STREET
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100
Fax: (909) 382-7103

The NPI 1003280934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2015 and was last updated on 9/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95000991	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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