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NPI Code Detail

MEDICARE: ALISON BOYD APRN, NP-C

MEDICARE:   ALISON  BOYD  APRN, NP-C
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
1363LA2200XAdult Health Nurse Practitioner91965OK

General Provider Information

NPI Number : 1528475837
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON BOYD APRN, NP-C
Provider Business Mailing Address
First Line : 7400 NW 135TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-1001
Country : US
Telephone Number : 405-206-8177
Fax Number :
Provider Business Practice Location Address
First Line : 9700 MASHBURN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-5509
Country : US
Telephone Number : 405-721-2466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2014
Last Update Date : 07/18/2014

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