Bostic, Loretta Ann
Bostic, Loretta Ann is an individual health care provider with primary practice located at 661 Lick Branch Rd , Charleston WV 25312-6761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bostic, Loretta Ann can be contacted via phone (304) 208-0707.Contact Information
Primary practice address
661 Lick Branch Rd
Charleston WV 25312-6761
Phone: (304) 208-0707
Fax: (855) 851-4405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 33849 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 106941 | West Virginia |
Profile Details
NPI number | 1629068705 |
---|---|
LBN Legal business name | Bostic, Loretta Ann |
Credentials | CRNA, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2005 |
Last updated | Apr 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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