Doctor Name: | MRS. THELMA ELAINE BOYD |
NPI Number: | 1386833788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 46125 |
Business Practice Address: | 300 Galaxie Ave. Harrisonville, MO - 64701 |
Business Phone Number: | 8163805167 |
Business Fax Number: | 8163183034 |
Mailing Address: | 1800 Community Drive, CLINTON |
State: | MO |
Postal Code: | 647358804 |
Phone Number: | 6608858131 |
Fax Number: | 8163183034 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 46125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |