Provider Demographics
NPI:1437242302
Name:BOYD, MARGARET (RN CNM)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:RN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 MYRTLE ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-4602
Mailing Address - Country:US
Mailing Address - Phone:814-454-8185
Mailing Address - Fax:814-454-3894
Practice Address - Street 1:2315 MYRTLE ST
Practice Address - Street 2:SUITE 220
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-4602
Practice Address - Country:US
Practice Address - Phone:814-454-8185
Practice Address - Fax:814-454-3894
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008583L176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1892252Medicaid