Individual
MR. EDWARD B BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
96 15TH ST NW, SUITE 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Mailing address
96 15TH ST NW, SUITE 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001190409
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167320
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063631927
—
VA
Enumeration date
04/25/2007
Last updated
01/19/2010
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