Provider Demographics
NPI:1386642791
Name:BOYD, KAREN LYNETTE (DNP, NP-C)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNETTE
Last Name:BOYD
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Gender:F
Credentials:DNP, NP-C
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Mailing Address - Street 1:19785 WEST 12 MILE RD, #354
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2584
Mailing Address - Country:US
Mailing Address - Phone:844-244-8310
Mailing Address - Fax:248-415-5527
Practice Address - Street 1:19785 W 12 MILE RD # 354
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2584
Practice Address - Country:US
Practice Address - Phone:844-244-8310
Practice Address - Fax:248-415-5527
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2019-02-21
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Provider Licenses
StateLicense IDTaxonomies
MI4704203961363L00000X, 364SM0705X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical