MEDICARE: RAE BOYD APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	15481	CA
2	363LF0000X	Family Nurse Practitioner	AP 30007138	WA
3	363LF0000X	Family Nurse Practitioner	AP30007138	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP30007138	OTHER	WA	NURSE PRACTITIONER
2	15481	OTHER	CA	FURNISHING
3	15481	OTHER	CA	NURSE PRACTITIONER
4	RN00161554	OTHER	WA	REGISTERED NURSE
5	65825	OTHER	CA	PUBLIC HEALTH NURSE
6	2004004681	OTHER		ANCC APRN, BC
7	288910	OTHER	WA	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1144225236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAE BOYD APRN

Provider Business Mailing Address
First Line	:	1400 E KINCAID ST
Second Line	:	ATTN: CREDENTIALING
City	:	MOUNT VERNON
State	:	WA
Zip	:	98274-4127
Country	:	US
Telephone Number	:	360-428-2500
Fax Number	:	360-428-6485

Provider Business Practice Location Address
First Line	:	1400 E KINCAID ST
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98274-4127
Country	:	US
Telephone Number	:	360-428-6434
Fax Number	:	360-848-4233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1558853374 — NATALIE HOYTE
Practice Location Address:

1400 E KINCAID ST
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-428-2501
Practice Fax:

1972508836 — JAMES WILLIAM HARTLEY ARNP
Practice Location Address:

1400 E KINCAID ST
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-428-6434
Practice Fax: 360-848-4233

1710982400 — JON C RANSOM MD
Practice Location Address:

1400 E. KINCAID STREET
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-416-5750
Practice Fax: 360-416-5758

1902804925 — KEVIN D. WELK MD
Practice Location Address:

1400 E. KINCAID STREET
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-428-2555
Practice Fax: 360-428-6402

1396737326 — GEORGE J. ANG MD
Practice Location Address:

1400 E KINCAID ST , SKAGIT REGIONAL CLINICS
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-428-2501
Practice Fax: 360-428-2596

1417942038 — DR. MARSHALL WILLIAM ANDERSON MD
Practice Location Address:

1400 E KINCAID ST
MOUNT VERNON, WA
98274-4127

Practice Phone: 360-848-4150
Practice Fax: 360-848-4169

Directions to “ RAE BOYD APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.