Individual
RAE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-6434
(360) 848-4233
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15481
CA
363LF0000X
Family Nurse Practitioner
AP 30007138
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15481
FURNISHING
CA
01
—
2004004681
ANCC APRN, BC
—
01
—
288910
LABOR & INDUSTRIES
WA
01
—
65825
PUBLIC HEALTH NURSE
CA
01
—
AP30007138
NURSE PRACTITIONER
WA
01
—
RN00161554
REGISTERED NURSE
WA
Enumeration date
06/16/2005
Last updated
03/07/2023
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