Provider Demographics
NPI:1467244509
Name:BOYLAN, MEGHAN (APN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:
Last Name:BOYLAN
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2133
Mailing Address - Country:US
Mailing Address - Phone:908-418-5758
Mailing Address - Fax:
Practice Address - Street 1:40 BEY LEA RD STE B203
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2974
Practice Address - Country:US
Practice Address - Phone:732-341-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15236300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily