Provider Demographics
NPI:1952723678
Name:BOATWRIGHT, SHARRON M (CRNP)
Entity Type:Individual
Prefix:MS
First Name:SHARRON
Middle Name:M
Last Name:BOATWRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 FLORENCE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-760-1977
Mailing Address - Fax:256-764-9982
Practice Address - Street 1:1949 FLORENCE BOULEVARD
Practice Address - Street 2:OCCUPATIONAL HEALTH CENTER LLC
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-760-1977
Practice Address - Fax:256-764-9982
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-056150363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0199714OtherANCC