Individual
ANGELA M BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 532-4432
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100801
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
312050
AZ
367500000X
Certified Registered Nurse Anesthetist
65512
NM
Other
Enumeration date
05/10/2022
Last updated
12/09/2024
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