Provider Demographics
NPI:1346685229
Name:HOSTETLER, FAITH JOANNA (RN)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:JOANNA
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 MIKELL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-5042
Mailing Address - Country:US
Mailing Address - Phone:843-762-2749
Mailing Address - Fax:843-762-6207
Practice Address - Street 1:891 MIKELL DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-5042
Practice Address - Country:US
Practice Address - Phone:843-762-2749
Practice Address - Fax:843-762-6207
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC108614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse