Provider Demographics
NPI:1124632138
Name:BOYCE, SARAH ANNE (RN-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:RN-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:82 N GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3514
Mailing Address - Country:US
Mailing Address - Phone:805-748-8687
Mailing Address - Fax:
Practice Address - Street 1:82 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3514
Practice Address - Country:US
Practice Address - Phone:805-748-8687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027426163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice