Provider Demographics
NPI:1972382547
Name:BOYD, DAWN KELLIE (RN, BSN, MIDA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:KELLIE
Last Name:BOYD
Suffix:
Gender:F
Credentials:RN, BSN, MIDA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:KELLIE
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, MIDA
Mailing Address - Street 1:11620 52ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-8707
Mailing Address - Country:US
Mailing Address - Phone:541-531-3019
Mailing Address - Fax:
Practice Address - Street 1:11620 52ND AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-8707
Practice Address - Country:US
Practice Address - Phone:541-531-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator