Individual
MINDY L BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
Mailing address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 872-1663
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
57113
WV
Other
Enumeration date
06/29/2011
Last updated
03/16/2024
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