Healthcare Provider Details

I. General information

NPI: 1528069283
Provider Name (Legal Business Name): SUSAN P HOTELLING CNM, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E NORTH ST
CAREY OH
43316-1068
US

IV. Provider business mailing address

235 E NORTH ST
CAREY OH
43316-1068
US

V. Phone/Fax

Practice location:
  • Phone: 419-396-9204
  • Fax: 419-396-9235
Mailing address:
  • Phone: 419-396-9204
  • Fax: 419-396-9235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberNM-04866
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: