DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. TATYANA VICTOROVNA BOYTIM CRNA

MEDICARE: MRS. TATYANA VICTOROVNA BOYTIM CRNA
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
1163W00000XRegistered NurseRN.350171OH
2163W00000XRegistered Nurse242908NC
3367500000XCertified Registered Nurse Anesthetist105657NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1242908OTHERNCRN LICENSE
2105657OTHERNCCRNA LICENSE

General Provider Information

NPI Number : 1558751164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TATYANA VICTOROVNA BOYTIM CRNA
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD STE 130
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-873-9533
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 12/19/2025

Similar Medicare Providers

1720857147 — ANNIE WESTLUND MURAWSKI NNP
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax: 919-350-7204
1962378588 — GARY CHRISTOS SALASIDIS MD,CM
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax:
1780549055 — LINDSEY HACK
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax:
1285053371 — NUSRAT ANNY MUJIB M.D
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax:
1942940689 — ZOE MARIE HEIS DO
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax:
1932172442 — DR. ELLEN D DILLAVOU MD
Practice Location Address:
3000 NEW BERN AVE
RALEIGH, NC
27610-1231
Practice Phone: 919-350-8000
Practice Fax:

Directions to “ MRS. TATYANA VICTOROVNA BOYTIM CRNA” 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 © 2007-2025 (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.