Provider Demographics
NPI:1235810599
Name:BOYD, GODFREY ANDREW SR (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:GODFREY
Middle Name:ANDREW
Last Name:BOYD
Suffix:SR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13650 E COLFAX AVE APT 1220
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6980
Mailing Address - Country:US
Mailing Address - Phone:910-599-6711
Mailing Address - Fax:
Practice Address - Street 1:13650 E COLFAX AVE APT 1220
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6980
Practice Address - Country:US
Practice Address - Phone:910-599-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF07231270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty