Boyd, Roberta Lynne

Boyd, Roberta Lynne is an individual health care provider with primary practice located at 2115 S Fremont Ave , Springfield MO 65804-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boyd, Roberta Lynne can be contacted via phone (417) 820-3535.

Contact Information

Primary practice address
2115 S Fremont Ave Springfield MO 65804-2239
Phone: (417) 820-3535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2000166102 Missouri

Profile Details

NPI number 1952576837
LBN Legal business name Boyd, Roberta Lynne
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952576837 NPPES
Missouri MEDICAID 425841806

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