Provider Demographics
NPI:1508091620
Name:HOSTLER, PAULA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:MICHELLE
Last Name:HOSTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:JACOBUS
Mailing Address - State:PA
Mailing Address - Zip Code:17407-1365
Mailing Address - Country:US
Mailing Address - Phone:717-741-6087
Mailing Address - Fax:
Practice Address - Street 1:755 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:JACOBUS
Practice Address - State:PA
Practice Address - Zip Code:17407-1365
Practice Address - Country:US
Practice Address - Phone:717-741-6087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife