Provider Demographics
NPI:1467646851
Name:BOYKIN, DEBORAH MATTHEWS (WHCNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MATTHEWS
Last Name:BOYKIN
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 NIGHTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2649
Mailing Address - Country:US
Mailing Address - Phone:804-530-1939
Mailing Address - Fax:
Practice Address - Street 1:16492 MLC LN
Practice Address - Street 2:SUITE 605
Practice Address - City:ROCKVILLE
Practice Address - State:VA
Practice Address - Zip Code:23146-1857
Practice Address - Country:US
Practice Address - Phone:804-530-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024066672363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology