Provider Demographics
NPI:1174935258
Name:TAYLOR-BOYD, ROBIN (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:TAYLOR-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 1:445 REDWOOD ST
Mailing Address - Street 2:247
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-2985
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:445 REDWOOD ST
Practice Address - Street 2:247
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-2985
Practice Address - Country:US
Practice Address - Phone:707-980-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507361163WG0000X, 163WH0200X, 163WI0500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WW0000XNursing Service ProvidersRegistered NurseWound Care