Healthcare Provider Details

I. General information

NPI: 1649078247
Provider Name (Legal Business Name): ANDREW WILLIAM BOYS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9775 COLERAIN AVE
CINCINNATI OH
45251-1442
US

IV. Provider business mailing address

9775 COLERAIN AVE
CINCINNATI OH
45251-1442
US

V. Phone/Fax

Practice location:
  • Phone: 513-853-9700
  • Fax: 513-852-8971
Mailing address:
  • Phone: 513-853-9700
  • Fax: 513-852-8971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038787
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: