Provider Demographics
NPI:1558636696
Name:BOYER, TERESA (APN-BC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 CASTLEWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-5166
Mailing Address - Country:US
Mailing Address - Phone:615-494-4804
Mailing Address - Fax:
Practice Address - Street 1:237 CASTLEWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5166
Practice Address - Country:US
Practice Address - Phone:615-494-4804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16576363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health