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NPI Code Detail

MEDICARE: SHELLY A. BOYD APNP

MEDICARE:   SHELLY A. BOYD  APNP
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
1363LF0000XFamily Nurse Practitioner7621WI

General Provider Information

NPI Number : 1457884165
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY A. BOYD APNP
Provider Business Mailing Address
First Line : 2478 N 73RD ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1212
Country : US
Telephone Number : 262-617-8248
Fax Number :
Provider Business Practice Location Address
First Line : 2478 N 73RD ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1212
Country : US
Telephone Number : 262-617-8248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2017
Last Update Date : 12/10/2025

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Directions to “ SHELLY A. BOYD APNP” Practice Location

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