Healthcare Provider Details

I. General information

NPI: 1841899200
Provider Name (Legal Business Name): JULIE ANN BOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2020
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2229 19TH ST
BAKERSFIELD CA
93301-3608
US

IV. Provider business mailing address

11901 KERN RIVER AVE
BAKERSFIELD CA
93308-9610
US

V. Phone/Fax

Practice location:
  • Phone: 800-213-8517
  • Fax: 909-727-8223
Mailing address:
  • Phone: 661-332-2559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number564352
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number224964
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number842268
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95016941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: