Most Relevant Information
Provider Data
| NPI Number: | 1003280934 |
| Provider Name: | BRENDA JEAN BOYLE PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 95000991 |
Most Important Dates
| Enumeration Date: | 11/16/2015 |
| Last Updated: | 09/25/2022 |
Provider Practice Location
1455 EAST 3RD STREET
SAN BERNARDINO
CA
92410
Practice Location Phone/Fax
| Phone: | 9093827100 |
| Fax: | 9093827103 |
Provider Mailing Location
1454 EAST 2ND STREET
SAN BERNARDINO
CA
92408
Provider Mailing Phone/Fax
| Phone: | 9093827100 |
| Fax: |