Individual
ALYSSA BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
27188 ROBIN DR, CHESTERFIELD, MI 48051-3191
(586) 980-2478
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704297021
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704297021
MI
Other
Enumeration date
07/02/2024
Last updated
03/10/2026
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