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DR. NICOLE GUSS BOATWRIGHT DO
NPI 1619671047
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 29, 2023
4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6646 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicole Guss Boatwright Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE GUSS BOATWRIGHT DO (NPI 1619671047) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2023. She maintains a secondary practice location in Vineland.

NPPES Registry Identity

NPI1619671047
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLE GUSS BOATWRIGHTCredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address1505 W Sherman AveVineland, NJ 08360-7059 · (856) 641-8000
Phone(215) 871-6646
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1619671047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4190 CITY AVE, Philadelphia, PA 19131
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Secondary Practice Location 1

Location 11505 W Sherman AveVineland, NJ 08360-7059 · Phone (856) 641-8000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A. PASCUCCI DO
Internal Medicine (Rheumatology)
4190 CITY AVE, SUITE 330
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6337
DR. JOSEPH M. KACZMARCZYK D.O.
Obstetrics & Gynecology
4190 CITY AVE, STE 315
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
CITY LINE PEDIATRICS
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
DR. CARL R PULLEN D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
DR. ROSEMARY VICKERS D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
MARGARET MARY WILKINS DO
Family Medicine
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DR. BRUCE STEVEN ZAHN ED.D.
Psychologist (Clinical)
4190 CITY AVE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
Philadelphia County (256) 468-0600
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Boatwright's NPI number?

The NPI number for Nicole Boatwright is 1619671047. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Nicole Boatwright located?

Nicole Boatwright practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6646.

What is Nicole Boatwright's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Boatwright was last updated on May 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.