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MRS. OLIVIA BOATRIGHT
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1225296171
Individual Registrant:MRS. OLIVIA BOATRIGHT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
612 CANNING DR WEWAHITCHKA, FL 32465-4710 US
Tel: 850-639-2274 Fax: 850-639-2274
Tel: 850-639-2274 Fax: 850-639-2274
Contact information for business:
612 CANNING DR WEWAHITCHKA, FL 32465-4710 US
Tel: 850-639-2274 Fax: 850-639-2274
Tel: 850-639-2274 Fax: 850-639-2274
Registration Information:
NPI: 1225296171
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | FL | PN515608 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 230628000 | FL | 05 |
