MANDY BOYLEN


Address: 200 Gaston Ave, Fairmont, WV 26554-2739
Phone: 3046246554

MANDY BOYLEN (NPI# 1871996215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871996215
Entity Type Individual
Full Name MANDY BOYLEN
Credential RN
Practice Address 200 Gaston Ave
Fairmont
WV 26554-2739
Mailing Address 1201 N 15th St
Clarksburg
WV 26301-1989
Practice Telephone 3046246554
Practice Fax Number 3046245223
Mailing Telephone 3046246554
Mailing Fax Number 3046245223
Enumeration Date 2014-09-30
Last Update Date 2014-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
59027 WV Nursing Service Providers

Office Location

Street Address 200 GASTON AVE
City FAIRMONT
State WV
Zip Code 26554-2739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528244183 Marion County Board of Education Local Education Agency (LEA) 200 Gaston Ave, Fairmont, WV 26554-2739 2008-01-14
1396121422 Margaret M. Stephens Psychologist 200 Gaston Ave, Fairmont, WV 26554-2739 2015-07-30
1841629276 Stephanie Ann Satanek Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2013-11-06
1629406509 Gwen Rochelle Carpenter Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2013-10-31
1619312345 Kathryn Currey Vangilder Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2013-05-08
1003180811 Molly Beth Greene Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2012-02-27
1629391750 Kathy M. Brooks Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2010-03-03
1811120744 Megan Aaltje Vanderwijst Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2009-08-26
1609013606 Laura Goblinger Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2009-01-13
1437304029 Alyson Denise Boe Speech-Language Pathologist 200 Gaston Ave, Fairmont, WV 26554-2739 2008-11-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801497680 Vanquisha Clay Technician 118 Conaway St, Fairmont, WV 26554 2020-11-06
1851903363 Denise S Greer Technician 1029 Prickett Road, Fairmont, WV 26554 2020-08-18
1730790775 Darla Lee Mcrobie Technician 105 C'anna Square, Fairmont, WV 26554 2020-08-13
1376025718 Jason Batten Counselor 621 Maryland Ave, Fairmont, WV 26554 2018-09-02
1437669066 Ultimate Health & Wellness, LLC Naturopath 2862 Whitehall Blvd, Whitehall, WV 26554 2017-10-10
1457872376 Michele R Lilley Nurse Practitioner 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 2017-06-30
1477906154 Rebecca Hayes-merrill Counselor 212 Adams St., 3rd Floor, Fairmont, WV 26554 2016-07-19
1790173417 Dennis Michael Lynch Counselor 5 Turf Lane, Fairmont, WV 26554 2015-01-05
1336558725 Nicole Savage Home Health Aide 122 Abbott St, Fairmont, WV 26554 2014-08-11
1124434550 Achuta Ram Aynampudi Psychiatry & Neurology 100 Stoney Hill Rd, Fairmont, WV 26554 2014-07-07
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821603077 Rachel M. Wright-mckay Registered Nurse 39 Golden Bear Dr, New Cumberland, WV 26047-1670 2020-09-14
1659986198 Kaitlyn Hawkins Registered Nurse 125 Sinclair Ave, Weirton, WV 26062-4248 2020-09-11
1750996633 Kelsey Lynn Neterer Registered Nurse 1453 Winchester Ave, Martinsburg, WV 25405-5022 2020-09-09
1275144982 Mary Kathryn Lyons Registered Nurse 128 Frankfort Rd, New Cumberland, WV 26047-3004 2020-08-14
1851927040 Suzanne M. Barnette Registered Nurse 77 Courthouse Dr, Winfield, WV 25213-9347 2020-03-19
1902456718 Jennifer Lynn Fletcher Registered Nurse 800 East Mcdonald Avenue, Man, WV 25635 2019-09-13
1730737925 Jennifer Kincaid Registered Nurse 500 Flat Top Rd, Shady Spring, WV 25918-8615 2019-08-30
1326511155 Shayla Rashell Hagan Registered Nurse 331 Buffalo Creek Rd, Kenova, WV 25530-9611 2019-01-04
1366912339 Elizabeth Hutzler Registered Nurse Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 2018-12-03
1053893412 Diedra Shanel Huggins Registered Nurse 333 Foundry Street, New Martinsville, WV 26155 2018-09-02
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Competitor

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City FAIRMONT
Zip Code 26554

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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