| Doctor Name: | LEATHA F BOYLES |
| NPI Number: | 1194701177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 0024052645 |
| Business Practice Address: | 8920 Otterbrun Road Amelia, VA - 23002 |
| Business Phone Number: | 8045615150 |
| Business Fax Number: | 8045616643 |
| Mailing Address: | 8920 Otterburn Rd, AMELIA COURT HOUSE |
| State: | VA |
| Postal Code: | 230024854 |
| Phone Number: | 8045615150 |
| Fax Number: | 8045616643 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 05/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 0024052645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |