Mary Kay Hostetler in Greenville - Neonatal, Critical Care

Mary Kay Hostetler - NPI 1073663506

Mary Kay Hostetler is a Neonatal, Critical Care in Greenville, North Carolina. Mary Kay Hostetler practices all healthcare services and medical treatments related to Neonatal, Critical Care. The NPI Number for Mary Kay Hostetler is 1073663506. The last update date is 2007-07-08.

Mary Kay Hostetler's current location address is 2100 Stantonsburg Rd, Greenville, North Carolina. You can contact this provider via phone number 2528474113 and fax number 2528479946. The mailing address for Mary Kay Hostetler is 2100 Stantonsburg Rd, Greenville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kay Hostetler
Address 2100 Stantonsburg Rd, Greenville, North Carolina
Phone Number 2528474113
Fax Number 2528479946
Sole Proprietor Y
Credentials NNP

NPI Number Detail

NPI Number 1073663506
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2100 Stantonsburg Rd
City Greenville
State North Carolina (NC)
Post Code 278342818
Phone Number 2528474113
Fax Number 2528479946

Provider's Primary Taxonomy Detail

Speciality Neonatal, Critical Care
Taxonomy 363Ln0005X
Licence No 137721
Definition:
An advanced practice registered nurse expert in specialized critical care for high-risk, critically ill newborns.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NNP NC LICENSE

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FAQs about Mary Kay Hostetler

What is the unique provider identifier assigned to Mary Kay Hostetler?

The Mary Kay Hostetler has been issued the NPI (National Provider Identifier) 1073663506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Mary Kay Hostetler located?

The Mary Kay Hostetler is located at 2100 Stantonsburg Rd, Greenville, NC 278342818.

What is Mary Kay Hostetler's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mary Kay Hostetler's area of specialization is Neonatal, Critical Care, and the corresponding taxonomy code that categorizes this field of practice is 363Ln0005X.

On what date did the Mary Kay Hostetler receive the assignment of its 1073663506 from the Centers for Medicare & Medicaid Services?

The Mary Kay Hostetler was issued its 1073663506 by the Centers for Medicare & Medicaid Services on 2007-01-10.

As of what date was the information pertaining to Mary Kay Hostetler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Kay Hostetler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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