Mrs. Susan Boyle
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
71 Lakeside Trl
Kinnelon
, New Jersey 07405-2843
Mrs. Susan Boyle
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
71 Lakeside Trl
Kinnelon
, New Jersey 07405-2843
(973) 809-7410
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Susan Boyle
- 71 Lakeside Trl
- Kinnelon, NJ
- Zip : 07405-2843
- Phone : (973) 809-7410
Second Address
- Mrs. Susan Boyle
- 71 Lakeside Trl
- Kinnelon, NJ
- Zip : 07405-2843
- Phone : (973) 809-7410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00644500 | NJ |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00644500 | NJ |
National Provider Identifier
| NPI | 1073062576 |
|---|---|
| Provider Name | Mrs. Susan Boyle |
| First Address | Kinnelon, NJ 07405-2843 |
| Second Address | Kinnelon, NJ 07405-2843 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2016 |
| Last Update Date | 25/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.