Individual provider · Type 1 NPI

Nicole Guss Boatwright, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1619671047 Active

Practice location

4190 City Ave
Philadelphia, PA 19131-1626

Call (215) 871-6646 Map

Mailing address

1505 W Sherman Ave
Vineland, NJ 08360-7059

Other practice locations

  • 1505 W Sherman Ave, Vineland, NJ 08360-7059 · (856) 641-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619671047

Nicole Guss Boatwright, DO's National Provider Identifier is 1619671047, issued on Mar 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 31, 2024.