Provider Demographics
NPI:1295700573
Name:BOYD, LEE ANN (ARNP)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:ANN
Last Name:BOYD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:5 VANDERBILT PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1700
Practice Address - Country:US
Practice Address - Phone:828-255-7733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2048882363L00000X
NC301484363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01021939OtherRAILROAD MCR
FL294234OtherWELLCARE
FL302926300Medicaid
FLP986151OtherFREEDOM HEALTH
FL7248071OtherAETNA
FL8355729OtherCIGNA
FLY9046OtherBCBS FL
FLP938048OtherOPTIMUM
FLP986151OtherFREEDOM HEALTH
FLS81439Medicare UPIN
FLP01021939OtherRAILROAD MCR