Doctor Name: | LINDA S BOYLAN-STARKS |
NPI Number: | 1447238548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 111338 |
Business Practice Address: | 1330 Oakridge Dr Ft Collins, CO - 805255564 |
Business Phone Number: | 9704958450 |
Business Fax Number: | 9704957620 |
Mailing Address: | 2047 Meander Rd, WINDSOR |
State: | CO |
Postal Code: | 805504628 |
Phone Number: | 9706741891 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | 111338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |