Provider Demographics
NPI:1518953355
Name:BOYLE EGLAND, PATRICIA ANN (RN MSN CPNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:BOYLE EGLAND
Suffix:
Gender:F
Credentials:RN MSN CPNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2639 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3132
Mailing Address - Country:US
Mailing Address - Phone:516-783-5152
Mailing Address - Fax:
Practice Address - Street 1:199 CHAMBERS ST
Practice Address - Street 2:CITY UNIVERSITY OF NY BMCC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1044
Practice Address - Country:US
Practice Address - Phone:212-220-8223
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY403726 1163W00000X, 163WP0200X
NYF380936 1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics