| Doctor Name: | SUSAN M HATFIELD |
| NPI Number: | 1699782300 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA1908 |
| Business Practice Address: | 1068 Sedgefield Ct Maineville, OH - 450397514 |
| Business Phone Number: | 5137225701 |
| Business Fax Number: | 5136772404 |
| Mailing Address: | 1068 Sedgefield Ct, MAINEVILLE |
| State: | OH |
| Postal Code: | 450397514 |
| Phone Number: | 5137225701 |
| Fax Number: | 5136772404 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1908 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |