Provider Demographics
NPI:1730310186
Name:BOYER, TAWNA C (RN)
Entity Type:Individual
Prefix:MS
First Name:TAWNA
Middle Name:C
Last Name:BOYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 SALINGER DR
Mailing Address - Street 2:
Mailing Address - City:LITHOPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:43136-9718
Mailing Address - Country:US
Mailing Address - Phone:614-920-0175
Mailing Address - Fax:
Practice Address - Street 1:780 SALINGER DR
Practice Address - Street 2:
Practice Address - City:LITHOPOLIS
Practice Address - State:OH
Practice Address - Zip Code:43136-9718
Practice Address - Country:US
Practice Address - Phone:614-920-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN315324163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse