Individual
MELISSA HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W 2ND ST STE 450, GRAND ISLAND, NE 68803-5473
(308) 379-8619
(308) 384-0194
Mailing address
1811 W 2ND ST STE 450, GRAND ISLAND, NE 68803-5473
(308) 379-8619
(308) 384-0194
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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