| Doctor Name: | ALICIA ANN BOATRIGHT |
| NPI Number: | 1922308030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 83301 |
| Business Practice Address: | Us Highway 56 & 270 Junction Wewoka, OK - 74884 |
| Business Phone Number: | 4052577312 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1475, WEWOKA |
| State: | OK |
| Postal Code: | 748841475 |
| Phone Number: | 4052577312 |
| Fax Number: | 4052573344 |
| NPI Enumeration Date: | 10/25/2010 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 83301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |