Healthcare Provider Details

I. General information

NPI: 1114187853
Provider Name (Legal Business Name): CHELSEA A BOYLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 N GRANT AVE SUITE 150
LOVELAND CO
80538-8431
US

IV. Provider business mailing address

3850 N GRANT AVENUE SUITE 200
LOVELAND CO
80538-1618
US

V. Phone/Fax

Practice location:
  • Phone: 970-624-5170
  • Fax: 970-669-7521
Mailing address:
  • Phone: 970-624-5170
  • Fax: 970-669-7521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5693
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: