Provider Demographics
NPI:1528471562
Name:BOYLE, PAMELA (CPNP-PC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:410-367-2215
Practice Address - Street 1:4225 ALTAMONT PL STE 201
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695
Practice Address - Country:US
Practice Address - Phone:240-607-1500
Practice Address - Fax:410-367-2215
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2018-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR174612363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics