Individual
AMI ELIZABETH BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
828 LANE ALLEN RD STE 219, LEXINGTON, KY 40504
(502) 498-4071
(888) 423-5216
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1101249
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3006102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201298170
—
IN
05
—
7100223600
—
KY
Enumeration date
12/11/2009
Last updated
02/25/2020
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