Provider Demographics
NPI:1437489705
Name:HOTZ, MARGUERITE (RN)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:HOTZ
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 1:1304 BEECH TRL
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-4765
Mailing Address - Country:US
Mailing Address - Phone:937-750-7446
Mailing Address - Fax:
Practice Address - Street 1:1304 BEECH TRL
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-4765
Practice Address - Country:US
Practice Address - Phone:937-750-7446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN211237163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse