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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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