Provider Demographics
NPI:1811387210
Name:BOYLE, GIANA KATHERINE (PA-C)
Entity type:Individual
Prefix:
First Name:GIANA
Middle Name:KATHERINE
Last Name:BOYLE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:GIANA
Other - Middle Name:KATHERINE
Other - Last Name:NOVOTNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2510 BELLEVUE MEDICAL CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1520
Mailing Address - Country:US
Mailing Address - Phone:402-595-2275
Mailing Address - Fax:402-595-1970
Practice Address - Street 1:2510 BELLEVUE MEDICAL CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1520
Practice Address - Country:US
Practice Address - Phone:402-595-2275
Practice Address - Fax:402-595-1970
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1886363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068397013Medicaid