Hostetler, Mary Janell

Hostetler, Mary Janell is an individual health care provider with primary practice located at Chp Lee Family Practice 11 Quarry Hill Road, Lee MA 01238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hostetler, Mary Janell can be contacted via phone (413) 243-0536.

Contact Information

Primary practice address
Chp Lee Family Practice 11 Quarry Hill Road Lee MA 01238
Phone: (413) 243-0536
Fax: (413) 243-8040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2308281 Massachusetts

Profile Details

NPI number 1366008930
LBN Legal business name Hostetler, Mary Janell
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2019
Last updated Oct 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366008930 NPPES
Massachusetts MEDICAID 110159130A

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