Provider Demographics
NPI:1437749785
Name:BOYLE, CHELSEA LEIGH (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LEIGH
Last Name:BOYLE
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
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Other - First Name:
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Other - Last Name Type:
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Mailing Address - Street 1:179 INDEPENDENCE RD
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-9207
Mailing Address - Country:US
Mailing Address - Phone:570-351-8028
Mailing Address - Fax:
Practice Address - Street 1:179 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9207
Practice Address - Country:US
Practice Address - Phone:570-588-6197
Practice Address - Fax:570-420-2452
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103880549-0001Medicaid