Provider Demographics
NPI:1780446864
Name:HOSLER, CAREN MARYANNA
Entity type:Individual
Prefix:
First Name:CAREN
Middle Name:MARYANNA
Last Name:HOSLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:MARYANNA
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 FAIRVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-3067
Mailing Address - Country:US
Mailing Address - Phone:813-712-0535
Mailing Address - Fax:
Practice Address - Street 1:1011 N MACDILL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5126
Practice Address - Country:US
Practice Address - Phone:727-258-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11006086363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily