Angela Blair Boykin, LPN
Licensed Practical Nurse in Bridgeport, CT. Individual provider (NPI-1).
NPI number1003108572
StatusActive
Last updated in NPPESMay 3, 2011
Details
- NPI
- 1003108572
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angela Blair Boykin
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2011
- Last updated
- May 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 278790 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 11.035623 | CT |
Practice location
115 Brittin AveBridgeport, CT 06605-3419
Phone 203-870-1751 · Fax 203-870-1751
Mailing address
115 Brittin AveBridgeport, CT 06605-3419
Phone 203-870-1751 · Fax 203-870-1751
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All 36 Licensed Practical Nurse providers in Bridgeport · All 3,629 providers in Bridgeport
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