Healthcare Provider Details

I. General information

NPI: 1326743642
Provider Name (Legal Business Name): RACHEL LYNN BOYLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL WHALEY

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS CO
80920-7923
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-278-3627
  • Fax:
Mailing address:
  • Phone: 970-624-5294
  • Fax: 970-267-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0077266
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: