Individual
STACIA N BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 27TH ST STE 101, PORTSMOUTH, OH 45662-6932
(740) 356-7337
(740) 356-6304
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.025468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365027
—
OH
05
—
7100619200
—
KY
Enumeration date
08/08/2019
Last updated
12/18/2020
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