Loretta Ann Bostic, CRNA, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Charleston, WV. Individual provider (NPI-1).
NPI number1629068705
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1629068705
- Entity type
- Individual (NPI-1)
- Name
- Loretta Ann Bostic
- Credential
- CRNA, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2005
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 106941 | WV | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 33849 | WV |
Practice location
661 Lick Branch RdCharleston, WV 25312-6761
Phone 304-208-0707 · Fax 855-851-4405
Mailing address
661 Lick Branch RdCharleston, WV 25312-6761
Phone 304-208-0707 · Fax 855-851-4405
Other practice locations
100 Association Dr
Charleston, WV 25311-1217
Charleston, WV 25311-1217
Phone 304-208-0707
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Charleston, WV
- Mary Tolulope AtandaNPI 1710824016
- Avail Health Medical Practice Of Florida PANPI 1912861105
- Stacey Ball, PMHNPNPI 1982148813
- Emelia ConatyNPI 1144078486
- Sherry CopleyNPI 1811654361
- Christopher James Easton, PMHNP-BCNPI 1629785175
- Richard Lee Gray, PMHNPNPI 1376392225
- Erica Diane Gunnoe, FNP-BCNPI 1740524875
- Healthpath Medical & Psychiatric Care LLCNPI 1609645670
- Maria Hoffmann, APRN-FNPNPI 1811577539
All 29 Psychiatric/Mental Health Nurse Practitioner providers in Charleston · All 9,831 providers in Charleston
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.