Healthcare Provider Details

I. General information

NPI: 1821896267
Provider Name (Legal Business Name): BIANCA BOYT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GALLETTI WAY UNIT 5
SPARKS NV
89431-5560
US

IV. Provider business mailing address

3150 LEADERSHIP PKWY APT 3017
RENO NV
89503-2090
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-0408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number870666
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: