Healthcare Provider Details

I. General information

NPI: 1730638032
Provider Name (Legal Business Name): BRITTON HOSTETLER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 8TH ST NE
MASSILLON OH
44646-8503
US

IV. Provider business mailing address

8831 DANIEL LN NW
STRASBURG OH
44680-9700
US

V. Phone/Fax

Practice location:
  • Phone: 330-832-8761
  • Fax:
Mailing address:
  • Phone: 330-432-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number019348
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: