Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAYDEN BOYD PROVANCE
ActiveGRAYDEN BOYD PROVANCE is a Peer Specialist healthcare provider located in CANTON, Ohio. NPI 1730682410 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CANTON, OH
Registration Details
- NPI Number
- 1730682410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2018 (8.3961081737929 yrs)
- Last Updated
- Mar 9, 2018
- License
-
00495 (OH)
Practice Information
- Address
-
400 TUSCARAWAS ST WCANTON, OH, 447022044Browse OH providers · Browse ZIP 44702
- Phone
- 3304382400
- Fax
- 3304383003
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CANTON, OH
| Name | Credential | NPI |
|---|---|---|
| BRANDON JEFFERS | PSS | 1326540246 |
| NICOLE OSBORNE | — | 1609378322 |
| TYLER GREEN | — | 1831692326 |
| DEBRA ANN CASEY | — | 1003301482 |
| CHARLEY CATHLEEN EAKLE | — | 1558856930 |
| BECKY JAMES | — | 1447745815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.