LEATHA F BOYLES (NPI# 1194701177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194701177 |
| Entity Type | Individual |
| Full Name | LEATHA F BOYLES |
| Credential | F.N.P. |
| Practice Address |
8920 Otterbrun Road Amelia VA 23002 |
| Mailing Address |
8920 Otterburn Rd Amelia Court House VA 23002-4854 |
| Practice Telephone | 8045615150 |
| Practice Fax Number | 8045616643 |
| Mailing Telephone | 8045615150 |
| Mailing Fax Number | 8045616643 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
0024052645 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1194701177 | 05 |
| Street Address |
8920 OTTERBRUN ROAD |
| City | AMELIA |
| State | VA |
| Zip Code | 23002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451269 | Travis Mueller, Dds | Dentist | 16320 Goodes Bridge Rd, Amelia Court House, VA 23002 | 2016-12-07 |
| 1811256787 | Southern Dominion Health System, Inc. | Clinic/Center | 8830 Virginia Street, Amelia, VA 23002 | 2012-05-11 |
| 1619118403 | Michele Monday Donoghue | Nurse Practitioner | 8631 Namozine Road, Amelia, VA 23002 | 2009-03-09 |
| 1811058449 | Jennifer Reed Mueller | Dentist | 16320 Goodes Bridge Rd., Amelia, VA 23002 | 2006-12-13 |
| 1881615458 | Carmen E Greiner | Counselor | Church Street & Washington Street, Amelia, VA 23002 | 2006-07-21 |
| 1851373559 | Debra Marie Sequeira | Family Medicine | 8920 Otterburn Road, Amelia, VA 23002 | 2005-11-17 |
| 1447540497 | Ryan Keith Ickes | Social Worker | 9101 Washington Street, Amelia, VA 23002 | 2011-04-12 |
| 1497983175 | Rita M Barrett | Nurse Practitioner | 8920 Otterburn Road, Amelia, VA 23002 | 2009-07-01 |
| 1508003484 | Nadeem Ahmed | Psychologist | 9101 Washington Street, Amelia Ch, VA 23002 | 2009-01-14 |
| 1245246230 | Margaret Rodgers Campbell | Emergency Medicine | 8920 Otterburn Road, Amelia, VA 23002 | 2006-07-31 |
| Find all providers in zip 23002 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477951515 | Tauna Gulley | Nurse Practitioner | 233 Chase Street, Suite 100, Clintwood, VA 24228 | 2014-12-05 |
| 1861998981 | Kathryn Jane Langan | Nurse Practitioner | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2018-04-05 |
Please comment or provide details below to improve the information on LEATHA F BOYLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.