Provider Demographics
NPI:1588905848
Name:BOYD, SARA ELIZABETH (WHNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:BOYD
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6852 FRESH POND RD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5230
Mailing Address - Country:US
Mailing Address - Phone:718-497-3045
Mailing Address - Fax:718-497-3126
Practice Address - Street 1:180 WINGO WAY STE 130
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-1810
Practice Address - Country:US
Practice Address - Phone:843-881-7400
Practice Address - Fax:843-881-7444
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY662229163W00000X
NY421136363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse