Provider Demographics
NPI:1235976655
Name:BOYCE, WILLIAM CLAYTON (APRN)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLAYTON
Last Name:BOYCE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2444
Mailing Address - Country:US
Mailing Address - Phone:203-510-2720
Mailing Address - Fax:
Practice Address - Street 1:67 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2444
Practice Address - Country:US
Practice Address - Phone:203-510-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13466363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology