Individual
MRS. MARILYNDA S BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2510 N KINGS HWY, MYRTLE BEACH, SC 29577-3037
(843) 626-2273
Mailing address
1801 ORCHARD DR, MYRTLE BEACH, SC 29577-1945
(609) 230-9623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0991002
CO
363LF0000X
Family Nurse Practitioner
Primary
24558
SC
363LF0000X
Family Nurse Practitioner
26NJ00041000
NJ
363LF0000X
Family Nurse Practitioner
SP007821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026671
—
NJ
05
—
02080541
—
CO
01
—
026061
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/18/2005
Last updated
01/31/2025
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