Individual
HEATHER BOSTANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BLDG., 9TH FL. N, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN606709
PA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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