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NPI Code Detail

MEDICARE: ENDIA BOYD NP

MEDICARE: ENDIA BOYD NP
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 Nurse226319GA
2363LF0000XFamily Nurse PractitionerAPRN-NP226319GA
3363LF0000XFamily Nurse Practitioner226319GA

General Provider Information

NPI Number : 1750851937
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENDIA BOYD NP
Provider Business Mailing Address
First Line : 580 STONEBRANCH DR
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-6228
Country : US
Telephone Number : 678-793-5859
Fax Number :
Provider Business Practice Location Address
First Line : 6175 NEWTON DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2690
Country : US
Telephone Number : 678-342-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2018
Last Update Date : 10/29/2025

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