Provider Demographics
NPI:1770813529
Name:BOYD, RACHEL RENEE (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:RENEE
Last Name:BOYD
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 1:2395 DELAWARE AVE
Mailing Address - Street 2:#124
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-5718
Mailing Address - Country:US
Mailing Address - Phone:831-427-2606
Mailing Address - Fax:
Practice Address - Street 1:2395 DELAWARE AVE
Practice Address - Street 2:#124
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-5718
Practice Address - Country:US
Practice Address - Phone:831-427-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA758319163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse