Krista Boyler

Individual provider Active NPI Licensed Practical Nurse · Grand Island, NY

NPI 1659520591 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1659520591
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
270942-1 (NY)
Practice address
2041 Whitehaven Rd
Apt. #5
Grand Island, NY 14072-2001
Phone
(716) 930-2075
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
270942-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 270942-1 NY Yes

Addresses

Primary practice location

2041 Whitehaven Rd
Apt. #5
Grand Island, NY 14072-2001

Mailing address

2041 Whitehaven Rd
Apt. #5
Grand Island, NY 14072-2001
Phone (716) 930-2075

Other providers in Grand Island, NY

All providers in Grand Island, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.