Healthcare Provider Details

I. General information

NPI: 1376454488
Provider Name (Legal Business Name): HOLLY BOYER APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 WITTINGTON DR
CHESAPEAKE VA
23322-7522
US

IV. Provider business mailing address

429 WITTINGTON DR
CHESAPEAKE VA
23322-7522
US

V. Phone/Fax

Practice location:
  • Phone: 757-589-0707
  • Fax:
Mailing address:
  • Phone: 757-589-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0024198679
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: