Wellformed AI

NPI 1992952204 · live from the CMS NPI Registry

Sharon M Boyle, CPNP

Nurse Practitioner, Pediatrics in Fairfax, VA. National Provider Identifier 1992952204, active.

NPI record

NPI1992952204 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location3650 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033
Practice phone703-391-0900
EnumeratedAugust 19, 2008
Last updatedAugust 19, 2008
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X0024047330 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.