Provider Demographics
NPI:1811485774
Name:BOYEFIO, FELICIA N
Entity type:Individual
Prefix:MISS
First Name:FELICIA
Middle Name:N
Last Name:BOYEFIO
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 1:402 AMARA CRES APT E
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-9012
Mailing Address - Country:US
Mailing Address - Phone:469-587-4163
Mailing Address - Fax:
Practice Address - Street 1:402 AMARA CRES APT E
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-9012
Practice Address - Country:US
Practice Address - Phone:469-587-4163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0175473747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant