Provider Demographics
NPI:1366963571
Name:BOYER, REBECCA DAWN (FNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:DAWN
Last Name:BOYER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MOUNTAIN VIEW LN
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-7373
Mailing Address - Country:US
Mailing Address - Phone:706-897-5968
Mailing Address - Fax:
Practice Address - Street 1:183 LEDFORD ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6213
Practice Address - Country:US
Practice Address - Phone:828-837-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily