Healthcare Provider Details

I. General information

NPI: 1922203074
Provider Name (Legal Business Name): BARBARA ANTHONY HOTELLING MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MANNING DR
CHAPEL HILL NC
27599-6119
US

IV. Provider business mailing address

107 SULLY CT
CHAPEL HILL NC
27514-5130
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-2109
  • Fax:
Mailing address:
  • Phone: 919-240-5678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number48607
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4704151243
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number08317
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number007
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: