Individual
JANET HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
245 CHERRY ST SE, STE 306, GRAND RAPIDS, MI 49503-4607
(616) 685-8750
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704291697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700191
UHC PIN
—
01
—
0989499
GROUP MEDICAID
OH
05
—
2013430
—
OH
01
—
311413469054
CARESOURCE PIN
—
01
—
500015909
MEDICARE RAILROAD PIN
—
01
—
CA1586
GROUP MEDICARE RAILROAD
—
01
—
HONP07061
MEDICARE PTAN
—
Enumeration date
12/19/2005
Last updated
08/27/2012
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