MEDICARE: TIMOTHY BOICE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1071701	TX

General Provider Information

NPI Number	:	1285374298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY BOICE NP

Provider Business Mailing Address
First Line	:	8915 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1202
Country	:	US
Telephone Number	:	915-225-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	8915 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1202
Country	:	US
Telephone Number	:	915-225-0771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	03/29/2022

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Directions to “ TIMOTHY BOICE NP” Practice Location

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