Provider Demographics
NPI:1528213386
Name:BOYDEN, NANCY E (ARNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:BOYDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:NICHOLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:7901 SKANSIE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7497
Mailing Address - Country:US
Mailing Address - Phone:253-858-2408
Mailing Address - Fax:253-432-4050
Practice Address - Street 1:7901 SKANSIE AVE STE 105
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-858-2408
Practice Address - Fax:253-432-4050
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006085363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP30006085OtherPROFESSIONAL LICENSE