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SAMANTHA SHAYNE BOSTIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(304) 720-8816
(904) 494-6467
Mailing address
PO BOX 3466, CHARLESTON, WV 25334-3466
(304) 720-8816
(904) 494-6467

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
48772
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN48772CRNA
WV

Other

Enumeration date
06/07/2006
Last updated
06/18/2024
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