Individual
MRS. BRITTANY BAREFOOT BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 402-1638
(843) 724-2455
Mailing address
131 TYBO DR, LEXINGTON, SC 29072-4300
(864) 992-1522
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
217218
SC
363LN0000X
Neonatal Nurse Practitioner
19782
SC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
19782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3795
—
SC
Enumeration date
09/24/2015
Last updated
10/28/2020
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