=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528213386
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NANCY E BOYDEN ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2008
-----------------------------------------------------
Last Update Date | 04/19/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7901 SKANSIE AVE STE 105
-----------------------------------------------------
City | GIG HARBOR
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98335
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-858-2408
-----------------------------------------------------
Fax | 253-432-4050
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7901 SKANSIE AVE STE 105
-----------------------------------------------------
City | GIG HARBOR
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98335-7497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-858-2408
-----------------------------------------------------
Fax | 253-432-4050
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | AP30006085
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | AP30006085
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------