MEDICARE: TAMARA MORGAN-BOYD BCNP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	291U00000X	Clinical Medical Laboratory	IL
2	175L00000X	Homeopath
3	175F00000X	Naturopath
4	171400000X	Health & Wellness Coach	IL
5	305S00000X	Point of Service

General Provider Information

NPI Number	:	1902428444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA MORGAN-BOYD BCNP

Provider Business Mailing Address
First Line	:	19 WINDSOR DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-2127
Country	:	US
Telephone Number	:	314-562-6442
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 W MAIN ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-4402
Country	:	US
Telephone Number	:	618-641-8973
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	04/03/2026

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