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Individual
EDITH BOSTIC
Active
Individual
EDITH BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
211413
SC
363L00000X
Nurse Practitioner
Primary
24318
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
24318
SC
Other
Enumeration date
10/31/2019
Last updated
12/17/2025
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