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TANYA BOATWRIGHT CNA
>> Nurse's Aide >> Nursing Service Related ProvidersRegistrant NPI Number: 1316557044
Individual Registrant: TANYA BOATWRIGHT CNA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
502 WOODED CROSSING CIR SAINT AUGUSTINE, FL 32084-6548 US
Tel: 904-844-1467 Fax: --
Tel: 904-844-1467 Fax: --
Contact information for business:
PO BOX 754 SAINT AUGUSTINE, FL 32085-0754 US
Tel: 904-844-1467 Fax: --
Tel: 904-844-1467 Fax: --
Registration Information:
NPI: 1316557044
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 376K00000X | Nursing Service Related Providers Nurse's Aide | FL | CNA133486 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
