Provider / Organization | NPI | Date Certified |
---|---|---|
ANGELA HOTZ | 1083367148 | 2024-11-10 |
Angela Hotz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083367148. Registration indicates Angela Hotz is a provider of access to ob/gyn services with a specialization in Other Service Providers, Midwife (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers) Access to OB/GYN (Other Service Providers, Midwife) (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers)
Entity Type | Individual |
Provider Name | Angela Hotz LM, CPM |
Practice Office Address | 916 S 3RD ST STE B MOUNT VERNON, WA US |
Practice Office Telephone | 3608083973 |
Practice Office Fax | 3608268250 |
Mailing Address | PO BOX 98 MOUNT VERNON, WA 982730098 US |
Business Telephone | 3608083973 |
Business Fax | 3608268256 |
Code | Practice | License No State |
---|---|---|
176B00000X | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | MW61232444
WA |
176B00000X PRIMARY | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | MW6123244
WA |
193400000X SING | Group Code |