Individual
SARAH TYLER BOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 FORE RIVER PKWY, PORTLAND, ME 04102-2795
(207) 893-0290
Mailing address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 535-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081910
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433881099
—
ME
01
—
P00694062
RAILROAD MEDICARE
ME
Enumeration date
06/20/2008
Last updated
12/26/2024
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