Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Guss Boatwright, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619671047

Dr. Nicole Guss Boatwright, DO is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4190 City Ave
Philadelphia, PA 19131-1626
Phone: (215) 871-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 W Sherman Ave, Vineland, NJ 08360-7059 — (856) 641-8000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619671047
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

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