Provider Demographics
NPI:1982928180
Name:HOSTETLER, DARCIE ANNE (CRFNP)
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:ANNE
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:CRFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 WHITE DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:17810-9268
Mailing Address - Country:US
Mailing Address - Phone:570-538-2567
Mailing Address - Fax:570-538-1062
Practice Address - Street 1:360 WHITE DEER RUN RD
Practice Address - Street 2:
Practice Address - City:ALLENWOOD
Practice Address - State:PA
Practice Address - Zip Code:17810-9268
Practice Address - Country:US
Practice Address - Phone:570-538-2567
Practice Address - Fax:570-538-1062
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006536B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily