Healthcare Provider Details

I. General information

NPI: 1356632681
Provider Name (Legal Business Name): DEANNA KAY BOYD ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST
DAYTON OH
45409-2722
US

IV. Provider business mailing address

1 WYOMING ST
DAYTON OH
45409-2711
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-8000
  • Fax: 937-208-5072
Mailing address:
  • Phone: 937-208-8000
  • Fax: 937-208-5072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License NumberRN.207899
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WE0900X
TaxonomyEnterostomal Therapy Registered Nurse
License Number207899
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN.207899
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberAPRN.CNS.10471
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License NumberRN.207899
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: