Doctor Name: | NICOLE L BOSTIC |
NPI Number: | 1538430939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | RN.339224 |
Business Practice Address: | 1001 Bellefontaine Ave Lima, OH - 458042800 |
Business Phone Number: | 4192283335 |
Business Fax Number: | 4199984586 |
Mailing Address: | 121 W High St, 5th Floor LIMA |
State: | OH |
Postal Code: | 458014340 |
Phone Number: | 4199984573 |
Fax Number: | 4199984586 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RN.339224 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |