Bostic, Nicole L

Bostic, Nicole L is an individual health care provider with primary practice located at 1001 Bellefontaine Ave , Lima OH 45804-2800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bostic, Nicole L can be contacted via phone (419) 228-3335.

Contact Information

Primary practice address
1001 Bellefontaine Ave Lima OH 45804-2800
Phone: (419) 228-3335
Fax: (419) 998-4586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN.339224 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN.339224 Ohio

Profile Details

NPI number 1538430939
LBN Legal business name Bostic, Nicole L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Nov 26th, 2012 - about 13 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1538430939 NPPES
Ohio MEDICAID 0060730

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