Doctor Name: | DEBORAH LYNN HATFIELD |
NPI Number: | 1225022411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 4428P |
Business Practice Address: | 306 Hospital Dr Suite 100 South Williamson, KY - 415034095 |
Business Phone Number: | 6062371740 |
Business Fax Number: | |
Mailing Address: | 3941 State Highway 319, Box 125 HARDY |
State: | KY |
Postal Code: | 415318931 |
Phone Number: | 6063530208 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4428P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |