Provider Demographics
NPI:1457322240
Name:BOYD, DONNA MARIE (CRNA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:BOYD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:KINZERS
Mailing Address - State:PA
Mailing Address - Zip Code:17535-9620
Mailing Address - Country:US
Mailing Address - Phone:717-371-2885
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-7890
Practice Address - Fax:717-544-7157
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00149178163W00000X
WAAP30006467163W00000X
PARN265993L163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse