O'Boyle, Katherine Marie

O'Boyle, Katherine Marie is an individual health care provider with primary practice located at 8655 Market St , Mentor OH 44060-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. O'Boyle, Katherine Marie can be contacted via phone (440) 701-7620.

Contact Information

Primary practice address
8655 Market St Mentor OH 44060-4406
Fax: (440) 701-7621
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP021241 Ohio

Profile Details

NPI number 1952824138
LBN Legal business name O'Boyle, Katherine Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952824138 NPPES
Ohio MEDICAID 0256792

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