Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Loretta Ann Bostic, CRNA, PMHNP-BC

Individual provider Certified Registered Nurse Anesthetist · NPI 1629068705

Loretta Ann Bostic, CRNA, PMHNP-BC is a Nurse Practitioner in Charleston, West Virginia. Qualified in 2020, 6 years ago. Practices with Healthpath Medical and Psychiatric Care LLC, a 3-clinician group and works from 2 locations. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

661 Lick Branch Rd
Charleston, WV 25312-6761
Phone: (304) 208-0707
Fax: (855) 851-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Association Dr, Charleston, WV 25311-1217 — (304) 208-0707

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 106941 (WV)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 33849 (WV)

Record details

NPI number1629068705
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Healthpath Medical And Psychiatric Care Llc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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