Individual
TANYA BOATWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
502 WOODED CROSSING CIR, SAINT AUGUSTINE, FL 32084-6548
(904) 844-1467
Mailing address
PO BOX 754, SAINT AUGUSTINE, FL 32085-0754
(904) 844-1467
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA133486
FL
Other
Enumeration date
08/06/2020
Last updated
03/23/2021
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