Individual provider · Type 1 NPI
Loretta Ann Bostic, CRNA, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Charleston, WV
NPI number
1629068705
Active
Practice location
661 Lick Branch Rd
Charleston, WV 25312-6761
Fax (855) 851-4405
Other practice locations
- 100 Association Dr, Charleston, WV 25311-1217 · (304) 208-0707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 33849 (WV) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 106941 (WV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629068705
Loretta Ann Bostic, CRNA, PMHNP-BC's National Provider Identifier is 1629068705, issued on Oct 28, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charleston, WV. The record was last updated on Jul 23, 2024.