Individual
BETHANY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-3180
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226502-30
WI
Other
Enumeration date
03/30/2016
Last updated
08/23/2016
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