Individual
MRS. KATIE ELISE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
725 IRVING AVE STE 504, SYRACUSE, NY 13210-1683
(315) 464-8444
(315) 464-8445
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
383184
NY
363LP0200X
Pediatric Nurse Practitioner
383184
NY
Other
Enumeration date
09/03/2020
Last updated
11/16/2020
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