Individual
PASCHA J BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 777-7500
(573) 777-7505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
143473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639175912
—
MO
Enumeration date
06/22/2005
Last updated
04/06/2014
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