Healthcare Provider Details

I. General information

NPI: 1588481303
Provider Name (Legal Business Name): NEREIDA BOYLE MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NEREIDA MURILLO

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E SHAW AVE STE 139
FRESNO CA
93710-8025
US

IV. Provider business mailing address

1551 E SHAW AVE STE 139
FRESNO CA
93710-8025
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-0490
  • Fax:
Mailing address:
  • Phone: 559-320-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: