Most Relevant Information
Provider Data
| NPI Number: | 1003034885 |
| Provider Name: | MARY SUSANNE BOYLE RN, BSN, NCSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA2000X |
| Specialty: | Registered Nurse |
| License Number: | R135741 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
791 AQUAHART RD
GLEN BURNIE
MD
210613961
Practice Location Phone/Fax
| Phone: | 4102226838 |
| Fax: | 4102226840 |
Provider Mailing Location
300 TANBARK CT
MILLERSVILLE
MD
211081866
Provider Mailing Phone/Fax
| Phone: | 4107290065 |
| Fax: |