Individual
DEBRA NUNNALLY BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1250 E MARSHALL STREET, PEDIATRICS, RICHMOND, VA 23298-0646
(804) 828-3744
(804) 828-6455
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024078888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242886
—
VA
Enumeration date
09/07/2006
Last updated
12/14/2010
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