| Doctor Name: | BRENDA BOYLE |
| NPI Number: | 1003280934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC |
| License Number: | 443049 |
| Business Practice Address: | 1455 East 3rd Street San Bernardino, CA - 92410 |
| Business Phone Number: | 9093827100 |
| Business Fax Number: | 9093827103 |
| Mailing Address: | 1454 East 2nd Street, SAN BERNARDINO |
| State: | CA |
| Postal Code: | 92408 |
| Phone Number: | 9093827100 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2015 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 443049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |