Provider Demographics
NPI:1033546148
Name:BOYD, DAVID F III (FNP STUDENT)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:BOYD
Suffix:III
Gender:M
Credentials:FNP STUDENT
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:F
Other - Last Name:BOYD
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:126 MISSOURI AVE.
Mailing Address - Street 2:GENERAL LEONARD WOOD COMMUNITY HOSPITAL
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65473
Mailing Address - Country:US
Mailing Address - Phone:573-596-0462
Mailing Address - Fax:
Practice Address - Street 1:126 MISSOURI AVE
Practice Address - Street 2:GENERAL LEONARD WOOD COMMUNITY HOSPITAL
Practice Address - City:FORT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473-8952
Practice Address - Country:US
Practice Address - Phone:573-596-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY38436.1547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily