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Organization
INDEPENDENT HEALTHCARE PROVIDERS CORP
Active
Organization
INDEPENDENT HEALTHCARE PROVIDERS CORP
Active
Other names
PsychSolutions4WV, Healthcare Travelers
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA ANN BOSTIC DNP, APRN (PRESIDENT)
(304) 208-0707
Entity
Organization
Contact information
Practice address
661 LICK BRANCH RD, CHARLESTON, WV 25312-6761
(304) 208-0707
(800) 758-9795
Mailing address
110 ASSOCIATION DR, CHARLESTON, WV 25311-1217
(304) 825-8565
(304) 825-5650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
03/01/2024
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