Leatha F Boyles
Nurse Practitioner - Community Health
8920 Otterbrun Road
Amelia
, Virginia 23002
Leatha F Boyles
Nurse Practitioner - Community Health
8920 Otterbrun Road
Amelia
, Virginia 23002
(804) 561-6643
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Leatha F Boyles
- 8920 Otterburn Rd
- Amelia Court House, VA
- Zip : 23002-4854
- Fax : (804) 561-6643
- Phone : (804) 561-5150
Second Address
- Leatha F Boyles
- 8920 Otterbrun Road
- Amelia, VA
- Zip : 23002
- Fax : (804) 561-6643
- Phone : (804) 561-5150
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Is Leatha F Boyles accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 0024052645 | VA |
National Provider Identifier
| NPI | 1194701177 |
|---|---|
| Provider Name | Leatha F Boyles |
| First Address | Amelia Court House, VA 23002-4854 |
| Second Address | Amelia, VA 23002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 09/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1194701177 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.