Individual
AMANDA JO BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
Mailing address
460 TULIP, SCOTT CITY, MO 63780-8200
(618) 973-5580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016008595
MO
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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