Provider Demographics
NPI:1386236255
Name:BOYLES, DANIELLE D (CHES)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:D
Last Name:BOYLES
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-1825
Mailing Address - Country:US
Mailing Address - Phone:814-577-2007
Mailing Address - Fax:
Practice Address - Street 1:115 WALLACE ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-1825
Practice Address - Country:US
Practice Address - Phone:814-577-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator