Ellen Louise Boyer

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN105314 Issued in AZ

Legal business name

ELLEN LOUISE BOYER

Practice address

1740 Sycamore Ave
Kingman, AZ 86409-0927

Phone

(602) 273-6770

Fax

(602) 889-0489

NPI assigned

Jan 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ellen Louise Boyer, CRNANPI 1174529077

Title

Owner

Phone

(602) 273-6770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Louise Boyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingman, AZ
  • NPI 1174529077

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1093992695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SYCAMORE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090927",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN LOUISE BOYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-273-6770",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN105314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgewood Kingman Az03 LLC
• Helen Baiyush Ekholt
• El Rio Santa Cruz Neighborhood Health Center Inc
• Elk Ridge Kingman Pharmacy
• Elk Ridge Kingman Pharmacy
• Shilo Julia Elliott
• Amy Elsbury, FNP-BC
• Daniel James Emborsky Jr., MSN RN
• Alizondrya Catrina Eplin, CPHT
• Ernest L Harman MD Zia Way LLC

• Certified Registered Nurse Anesthetist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.