Provider Demographics
NPI:1730178666
Name:BOYD, CARLA FRANCES (RNP)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:FRANCES
Last Name:BOYD
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 E MILLSAP RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4098
Mailing Address - Country:US
Mailing Address - Phone:479-442-4495
Mailing Address - Fax:479-442-8178
Practice Address - Street 1:350 E MILLSAP RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4098
Practice Address - Country:US
Practice Address - Phone:479-442-4495
Practice Address - Fax:479-442-8178
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP01268363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X740OtherBCBS
ARA004OtherTRICARE
AR5X740Medicare ID - Type Unspecified
ARQ11627Medicare UPIN