Provider Demographics
NPI:1023899085
Name:BOYLES, DONALD CRAIG (FNP)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CRAIG
Last Name:BOYLES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PENN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3224
Mailing Address - Country:US
Mailing Address - Phone:412-442-2343
Mailing Address - Fax:
Practice Address - Street 1:501 PENN AVE STE 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3224
Practice Address - Country:US
Practice Address - Phone:412-442-2343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0035064363L00000X
WV117671363L00000X
PASP029698363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner