Healthcare Provider Details

I. General information

NPI: 1568565372
Provider Name (Legal Business Name): MARIAN HORNSTEIN RN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HOLLAND ST LAKE ERIE WOMENS CENTER
ERIE PA
16507
US

IV. Provider business mailing address

16417 BAILEY RD
MEADVILLE PA
16335
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-5058
  • Fax: 814-452-4174
Mailing address:
  • Phone: 814-337-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010084
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: