Loretta Ann Bostic, CRNA, PMHNP-BC
NPI #1629068705 in Charleston, West Virginia
Provider Information
- NPI Number
- 1629068705
- Entity Type
- Individual
- Name
- Loretta Ann Bostic, CRNA, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- CRNA, PMHNP-BC
- Enumeration Date
- Oct 28, 2005
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 661 LICK BRANCH RD
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25312-6761
- Phone
- (304) 208-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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