Doctor Name: | MS. DEBORAH A HYATT |
NPI Number: | 1063428449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-049783 |
Business Practice Address: | 92 Ratliff St Lucedale, MS - 394526537 |
Business Phone Number: | 6019478181 |
Business Fax Number: | 6019474411 |
Mailing Address: | Po Box 1007, LUCEDALE |
State: | MS |
Postal Code: | 394521007 |
Phone Number: | 6019478181 |
Fax Number: | 6019474411 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-049783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |