Individual
ELIZABETH BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23 STATION CT APT 403, GREENVILLE, SC 29601-2979
(843) 670-5397
Mailing address
23 STATION CT APT 403, GREENVILLE, SC 29601-2979
(843) 670-5397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24750
SC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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