MRS. MARISSA M BOYD BSN RN PHN NPI 1750548608

NPI Information

NPI: 1750548608
Provider Name: MRS. MARISSA M BOYD, BSN, RN, PHN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
18250 MANDARIN ST
WOODLAND, CA
ZIP 95695
Phone: (916) 284-2304
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MRS. Marissa M Boyd, BSN, RN, PHN is a family nurse practitioner in Woodland, CA. MRS. Marissa M Boyd, BSN, RN, PHN NPI is 1750548608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18250 MANDARIN ST
WOODLAND, CA
ZIP 95695-012
Phone: (916) 284-2304

The enumeration date for this NPI number is 5/19/2008 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		707096	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator		707096	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	95028240	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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