National Provider Identifier

Persephone Boyd, LPN

Persephone Boyd, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penn Yan, NY and a listed phone number of (315) 536-4040.

NPI 1558997429Penn Yan, NYLicensed Practical Nurse

Profile Overview

NPI
1558997429
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 23, 2020
Last Updated
March 23, 2020

Practice Location

  • 124 Cornwell St
  • Penn Yan, NY 14527-1303

Phone: (315) 536-4040

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558997429
Entity Type
Individual
Last Name
Boyd
First Name
Persephone
Credential
LPN
Mailing Street Address
124 Cornwell St
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1303
Mailing Country
US
Mailing Phone
(315) 536-4040
Practice Street Address
124 Cornwell St
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1303
Practice Country
US
Practice Phone
(315) 536-4040
Enumeration Date
March 23, 2020
Last Updated
March 23, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
March 23, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)