Provider Demographics
NPI:1265689103
Name:BOYD, PATRICIA GAIL (AIDE)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:GAIL
Last Name:BOYD
Suffix:
Gender:F
Credentials:AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1168
Mailing Address - Country:US
Mailing Address - Phone:615-735-0569
Mailing Address - Fax:615-735-3110
Practice Address - Street 1:112 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1168
Practice Address - Country:US
Practice Address - Phone:615-735-0569
Practice Address - Fax:615-735-3110
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29926376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide