Provider Demographics
NPI:1285000919
Name:BOYO, TONYON (FNP-BC)
Entity Type:Individual
Prefix:
First Name:TONYON
Middle Name:
Last Name:BOYO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 RYAN ST
Mailing Address - Street 2:A
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2550 RYAN ST
Practice Address - Street 2:A
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5883
Practice Address - Country:US
Practice Address - Phone:979-353-1224
Practice Address - Fax:979-383-2213
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX814241364SL0600X, 364SH0200X
TX1094660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health