Tiffany Danielle Boyd, RN
Individual provider Active NPI Registered Nurse · Kearny, AZ
NPI 1760722649 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1760722649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN174234 (AZ)
- Practice address
- 651 Senator Chastain Drive
Kearny, AZ 85137 - Phone
- (520) 363-5517
- Fax
- (520) 363-5017
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174234 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN174234 | AZ | Yes |
Addresses
Primary practice location
651 Senator Chastain Drive
Kearny, AZ 85137
Mailing address
701 North Highway 177
Kearny, AZ 85137
Phone (520) 363-5517
Other providers in Kearny, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.