| Doctor Name: | MRS. DIANE E HATTEL |
| NPI Number: | 1003951229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 16129.0890 |
| Business Practice Address: | 3235 Sparks Rd Suite 200 Cheyenne, WY - 820016151 |
| Business Phone Number: | 3076388975 |
| Business Fax Number: | 3076349267 |
| Mailing Address: | 4003 Rawlins St, CHEYENNE |
| State: | WY |
| Postal Code: | 820011800 |
| Phone Number: | 3076388975 |
| Fax Number: | 3076349267 |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 16129.0890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |