Individual
NANCY C BOSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4635
(304) 528-4624
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4635
(304) 528-4624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
39079
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231203
—
OH
05
—
7101055000
—
WV
Enumeration date
07/07/2006
Last updated
07/08/2007
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