Healthcare Provider Details

I. General information

NPI: 1295495877
Provider Name (Legal Business Name): SHENA MARGARITE BOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 NEW JERSEY AVE NW
WASHINGTON DC
20001-1317
US

IV. Provider business mailing address

288 37TH PL SE
WASHINGTON DC
20019-3102
US

V. Phone/Fax

Practice location:
  • Phone: 202-882-4218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: