Healthcare Provider Details

I. General information

NPI: 1902494057
Provider Name (Legal Business Name): REEMA BOYD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29055 CLEMENS RD
WESTLAKE OH
44145-1135
US

IV. Provider business mailing address

29055 CLEMENS RD
WESTLAKE OH
44145-1135
US

V. Phone/Fax

Practice location:
  • Phone: 216-450-1613
  • Fax:
Mailing address:
  • Phone: 216-450-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0028008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: