Individual
MARY JANELL HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
CHP LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD, LEE, MA 01238
(413) 243-0536
(413) 243-8040
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2308281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110159130A
—
MA
Enumeration date
05/19/2019
Last updated
10/09/2023
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