Julie Ann Boyle, R.D.
Individual provider Active NPI Registered Dietitian · Wilkes Barre, PA
NPI 1861693293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861693293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN003634 (PA)
- Practice address
- 1000 E Mountain Dr
Wilkes Barre, PA 18711-0027 - Phone
- (570) 825-7300
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003634 | PA | Yes |
Addresses
Primary practice location
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144
Other providers in Wilkes Barre, PA
- Samia Bouleghlem
- Nader Boulos
- Daman Ray Bowman
- Alexei Boylan
- Grace K. Boyle
- William Brack
- Bradley D Fenster MD PHD PC
- James O. Brady
- Tyler Brady I
- William F Brazerol
All providers in Wilkes Barre, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.