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General NPI Number Information
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NPI Number | 1336606060
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Entity Type | Individual
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Provider Name | EUNICE CARREEN BOYD-GANT DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 642 S QUEEN ST STE 102
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City | DOVER
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State | DE
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Zip | 19904-3506
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Country | US
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Telephone | 302-487-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 MIDDLEFORD ROAD STE 401
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City | SEAFORD
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State | DE
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Zip | 19973-3665
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Country | US
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Telephone | 800-818-8680
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Fax | 866-229-0237
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | LG-0001240-NP
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0001240
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0016090-PMHNP
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License Number State | DE
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