Provider Demographics
NPI:1417614199
Name:BOYLE, CHRISTINA MAUREEN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MAUREEN
Last Name:BOYLE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16233 KING ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:CA
Mailing Address - Zip Code:95315-9460
Mailing Address - Country:US
Mailing Address - Phone:833-850-3500
Mailing Address - Fax:
Practice Address - Street 1:16233 KING ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:CA
Practice Address - Zip Code:95315-9460
Practice Address - Country:US
Practice Address - Phone:833-850-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily