Individual provider · Type 1 NPI

Angela Kelley Boivin, NP

Gerontology Nurse Practitioner · Fayetteville, NC

NPI number 1477004422 Active

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

303 Pickney Ct
Fayetteville, NC 28314-8620

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X5008887 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1477004422

Angela Kelley Boivin, NP's National Provider Identifier is 1477004422, issued on Oct 14, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 18, 2025.