Healthcare Provider Details

I. General information

NPI: 1346153368
Provider Name (Legal Business Name): NAKIRA TATIANA BOYCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MINNA ST
RAHWAY NJ
07065-2910
US

IV. Provider business mailing address

150 MINNA ST
RAHWAY NJ
07065-2910
US

V. Phone/Fax

Practice location:
  • Phone: 908-458-2335
  • Fax:
Mailing address:
  • Phone: 908-458-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberB2Y2G8J4
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: