Provider Demographics
NPI:1114929510
Name:BOYLE, BELINE MARIE (RN, MS, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:BELINE
Middle Name:MARIE
Last Name:BOYLE
Suffix:
Gender:F
Credentials:RN, MS, CPNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2429
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-8429
Mailing Address - Country:US
Mailing Address - Phone:972-420-1475
Mailing Address - Fax:214-222-2345
Practice Address - Street 1:760 N DENTON TAP RD
Practice Address - Street 2:SUITE 130
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2163
Practice Address - Country:US
Practice Address - Phone:972-420-1475
Practice Address - Fax:214-222-2345
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX631641363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics