OrganizationActive
Independent Healthcare Providers Corp
NPI 1972784262 · Psychiatric/Mental Health Nurse Practitioner · Charleston, WV
Provider details
- NPI number
- 1972784262
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Loretta Bostic, President(304) 208-0707
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
661 Lick Branch Rd
Charleston, WV 25312-6761
Phone: (304) 208-0707
Fax: (800) 758-9795
Approximate (ZIP-level) locationGet directions
Mailing address
110 Association Dr
Charleston, WV 25311-1217
Other names (DBA / former)
- Doing business as
- Healthcare Travelers
- Doing business as
- Psychsolutions4wv
Additional practice locations (1)
- 100 Association DrCharleston, WV 25311-1217Phone: (304) 208-0707Fax: (800) 758-9795
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2024-03-01
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.