Individual
AMANDA MARIE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 N RURAL ST APT 101, INDIANAPOLIS, IN 46201-3279
(317) 412-7420
Mailing address
23 N RURAL ST APT 101, INDIANAPOLIS, IN 46201-3279
(317) 412-7420
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
28193383A
IN
163WC1500X
Community Health Registered Nurse
Primary
28193383A
IN
163WD0400X
Diabetes Educator Registered Nurse
28193383A
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
28193383A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28193383A
RN LICENSE
IN
Enumeration date
08/29/2018
Last updated
08/29/2018
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