Provider Demographics
NPI:1508555616
Name:BOYER, TALAUNA KAY
Entity Type:Individual
Prefix:MS
First Name:TALAUNA
Middle Name:KAY
Last Name:BOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 WHITE PINE LN
Mailing Address - Street 2:
Mailing Address - City:CAPON BRIDGE
Mailing Address - State:WV
Mailing Address - Zip Code:26711-9243
Mailing Address - Country:US
Mailing Address - Phone:304-851-2363
Mailing Address - Fax:
Practice Address - Street 1:756 WHITE PINE LN
Practice Address - Street 2:
Practice Address - City:CAPON BRIDGE
Practice Address - State:WV
Practice Address - Zip Code:26711-9243
Practice Address - Country:US
Practice Address - Phone:304-851-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant