Provider Demographics
NPI:1497801351
Name:BOYCE, PAULINE F (PA-C, PT)
Entity Type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:F
Last Name:BOYCE
Suffix:
Gender:F
Credentials:PA-C, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7291
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04243-7291
Mailing Address - Country:US
Mailing Address - Phone:207-777-8695
Mailing Address - Fax:207-777-8800
Practice Address - Street 1:172 KINSLEY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-883-3000
Practice Address - Fax:603-889-3774
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2670225100000X
NH0736363A00000X
NH736363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH08Y003689NH01OtherANTHEM NEW HAMPSHIRE
NHP00820776OtherRAILROAD MEDICARE
NH30337730Medicaid
NH0013872Medicare PIN