Individual provider · Type 1 NPI

Bettye Boggs-Costic, LPN

Licensed Practical Nurse · Brunswick, GA

NPI number 1194128165 Active

Practice location

2747 4th St
Brunswick, GA 31520-3714

Fax (912) 265-8837

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN019053 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

26 other providers at this address

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About NPI 1194128165

Bettye Boggs-Costic, LPN's National Provider Identifier is 1194128165, issued on Oct 3, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brunswick, GA. The record was last updated on Oct 3, 2014.