Individual
CARRIE EMMA HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
Mailing address
211 FLOWER AVE E, WATERTOWN, NY 13601-4021
18609088052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341869
NY
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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