Provider Demographics
NPI:1740164334
Name:BOYD, ZAHARA ELLANYA
Entity type:Individual
Prefix:
First Name:ZAHARA
Middle Name:ELLANYA
Last Name:BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19806 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5569
Mailing Address - Country:US
Mailing Address - Phone:206-629-4310
Mailing Address - Fax:
Practice Address - Street 1:19806 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5569
Practice Address - Country:US
Practice Address - Phone:206-629-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist