Individual provider · Type 1 NPI

Mallory Boyle, CRNP, RN

Family Nurse Practitioner · Philadelphia, PA

NPI number 1669187902 Active

Practice location

822 Pine St
Philadelphia, PA 19107-6187

Mailing address

9 Virginia Ave
Haddon Township, NJ 08108-2316

Other practice locations

  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 · (215) 590-1000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X26NR22832300 (NJ)
Registered Nurse 163W00000XRN685967 (PA)
Family Nurse Practitioner Primary 363LF0000XSP027836 (PA)
Family Nurse Practitioner 363LF0000X26NJ01457800 (NJ)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1669187902

Mallory Boyle, CRNP, RN's National Provider Identifier is 1669187902, issued on Jan 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 18, 2023.