LORETTA BOSTIC, CRNA, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1629068705

Practice Address

661 LICK BRANCH RD
Charleston, WV 25312

Phone: (304) 208-0707

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X No 33849 (WV)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 106941 (WV)

Frequently Asked Questions

NPI 1629068705 is the National Provider Identifier for LORETTA BOSTIC, CRNA, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Charleston, WV. This NPI was enumerated on October 28, 2005.
LORETTA BOSTIC, CRNA, PMHNP-BC practices at 661 LICK BRANCH RD, Charleston, WV 25312.

Quick Facts

NPI
1629068705
Type
Individual
Enumerated
Oct 28, 2005
Last Updated
Jul 23, 2024

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