Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Boyle, CRNP, RN

Individual provider Registered Nurse · NPI 1669187902

Mallory Boyle, CRNP, RN is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Schweiger Dermatology PC, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
4
Licensed in
NJ, PA
In the registry since
2023
Specialties on file
4
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

822 Pine St
Philadelphia, PA 19107-6187
Phone: (267) 519-0154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 590-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP027836 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 26NR22832300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN685967 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01457800 (NJ)

Record details

NPI number1669187902
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , RN
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address9 Virginia Ave, Haddon Township, NJ 08108-2316

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Schweiger Dermatology Pc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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