COURTNEY TAYLOR BOIVIN NP NPI 1457990798

NPI Information

NPI: 1457990798
Provider Name: COURTNEY TAYLOR BOIVIN, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
12436 TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 454-6336
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Courtney Taylor Boivin, NP is a pediatrics nurse practitioner in Saint Louis, MO. Courtney Taylor Boivin, NP NPI is 1457990798. 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:

12436 TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128-702
Phone: (314) 454-6336

The NPI 1457990798 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2020 and was last updated on 11/2/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	2019043941	MISSOURI	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: 11/14/2023

NPI Synchronization or Removal

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