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NPI Code Detail

MEDICARE: DONNA K BOYCE RN

MEDICARE: DONNA K BOYCE RN
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
1163WC1500XCommunity Health Registered NurseOR

General Provider Information

NPI Number : 1710951231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA K BOYCE RN
Provider Business Mailing Address
First Line : 562 OLALLA RD
Second Line :
City : TOLEDO
State : OR
Zip : 97391-9764
Country : US
Telephone Number : 541-336-2936
Fax Number :
Provider Business Practice Location Address
First Line : 36 SW NYE ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-3821
Country : US
Telephone Number : 541-265-6611
Fax Number : 541-574-6252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 07/08/2007

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