| Doctor Name: | MARY SUSANNE BOYLE |
| NPI Number: | 1003034885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, NCSN |
| License Number: | R135741 |
| Business Practice Address: | 791 Aquahart Rd Glen Burnie, MD - 210613961 |
| Business Phone Number: | 4102226838 |
| Business Fax Number: | 4102226840 |
| Mailing Address: | 300 Tanbark Ct, MILLERSVILLE |
| State: | MD |
| Postal Code: | 211081866 |
| Phone Number: | 4107290065 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | R135741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |