Provider Demographics
NPI:1083951628
Name:BOYLE, LINDA SUE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:BOYLE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46506 SIDEHILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9713
Mailing Address - Country:US
Mailing Address - Phone:330-503-4861
Mailing Address - Fax:
Practice Address - Street 1:3150 JOHNSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2307
Practice Address - Country:US
Practice Address - Phone:740-283-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN173692-COA1363LF0000X
WV70229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily