NPI 1053767970 · live from the CMS NPI Registry
Danna Boyd, CPNP
Nurse Practitioner, Pediatrics in Saint Louis, MO. National Provider Identifier 1053767970, active.
NPI record
| NPI | 1053767970 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 30 Ronnies Plz, Saint Louis, MO 63126 |
| Practice phone | 314-748-5800 |
| Mailing address | Po Box 955534, Saint Louis, MO 63195 |
| Enumerated | May 10, 2016 |
| Last updated | November 11, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2015043761 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.