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NPI Code Detail

MEDICARE: ERIN BOYLE

MEDICARE: ERIN BOYLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8861410ID

General Provider Information

NPI Number : 1598613069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BOYLE
Provider Business Mailing Address
First Line : 254 E ST STE B
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83402-3527
Country : US
Telephone Number : 208-529-1854
Fax Number : 208-523-5974
Provider Business Practice Location Address
First Line : 254 E ST
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83402-3527
Country : US
Telephone Number : 208-529-1854
Fax Number : 208-523-5974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/24/2026

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Directions to “ ERIN BOYLE ” Practice Location

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