Provider Demographics
NPI:1548760846
Name:BOYLE, NATALIE SOPHIA (RN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SOPHIA
Last Name:BOYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 WHIPPLE RUN LOOP
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-5515
Mailing Address - Country:US
Mailing Address - Phone:843-742-7778
Mailing Address - Fax:
Practice Address - Street 1:344 WHIPPLE RUN LOOP
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-5515
Practice Address - Country:US
Practice Address - Phone:843-742-7778
Practice Address - Fax:843-742-7778
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC211353163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse