Individual provider · NPI-1
Edward Collier Boytim, CRNA, CNS
Nurse Anesthetist, Certified Registered · Bryan, TX
NPI number1881893725
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1881893725
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward Collier Boytim
- Credential
- CRNA, CNS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 681543 | TX | Yes |
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 681543 | TX |
Practice location
1737 Briarcrest DrSuite 14
Bryan, TX 77802-2769
Phone 979-776-4777
Mailing address
1737 Briarcrest DrSuite 14
Bryan, TX 77802-2769
Phone 979-776-4777
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