Healthcare Provider Details

I. General information

NPI: 1164129946
Provider Name (Legal Business Name): VICTORIA KATHERINE BOYLES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 WOODSON ST
SALISBURY NC
28144-3255
US

IV. Provider business mailing address

2188 WILLOW SPRINGS DR
PLEASANT GARDEN NC
27313-8165
US

V. Phone/Fax

Practice location:
  • Phone: 704-636-5576
  • Fax:
Mailing address:
  • Phone: 336-209-2218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2024103290
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018741
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: