Provider Demographics
NPI:1023740883
Name:BOYD, KRISTINA COLLINS (CNM, APRN, IBCLC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:COLLINS
Last Name:BOYD
Suffix:
Gender:F
Credentials:CNM, APRN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SPRINGLAND CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5225
Mailing Address - Country:US
Mailing Address - Phone:205-393-3762
Mailing Address - Fax:
Practice Address - Street 1:3201 YORKTOWN AVE STE 109
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1474
Practice Address - Country:US
Practice Address - Phone:984-330-1694
Practice Address - Fax:336-450-1770
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC299361163W00000X
NCL-46913163WL0100X
NC838367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant