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NPI Code Detail

MEDICARE: CRYSTAL DANIELLE BOYD MSN, FNP-BC

MEDICARE:   CRYSTAL DANIELLE BOYD  MSN, FNP-BC
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 Practitioner0030130OH

General Provider Information

NPI Number : 1598420267
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL DANIELLE BOYD MSN, FNP-BC
Provider Business Mailing Address
First Line : 3643 STATE ROUTE 152
Second Line :
City : RICHMOND
State : OH
Zip : 43944-7950
Country : US
Telephone Number : 740-457-6247
Fax Number :
Provider Business Practice Location Address
First Line : 3643 STATE ROUTE 152
Second Line :
City : RICHMOND
State : OH
Zip : 43944-7950
Country : US
Telephone Number : 740-457-6247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2021
Last Update Date : 11/07/2021

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Directions to “ CRYSTAL DANIELLE BOYD MSN, FNP-BC” Practice Location

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