Provider Demographics
NPI:1285036046
Name:HOSTETLER, EMILY CATHERINE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:CATHERINE
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68353 BANNOCK UNIONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9736
Mailing Address - Country:US
Mailing Address - Phone:740-695-9344
Mailing Address - Fax:740-695-7787
Practice Address - Street 1:68353 BANNOCK UNIONTOWN RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9736
Practice Address - Country:US
Practice Address - Phone:740-695-9344
Practice Address - Fax:740-695-7787
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350990163W00000X
OHAPRN.CNP.0030117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2373177Medicaid
OHAPRN.CNP.0030117OtherSTATE BOARD OF NURSING
WV111215OtherSTATE BOARD OF EXAMINERS
WV111215OtherSTATE BOARD OF EXAMINERS
OHMH6854841OtherDEA