Doctor Name: | MRS. JEANINE DANIELLE HATFIELD |
NPI Number: | 1932381142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9266402 |
Business Practice Address: | 7219 N Litchfield Rd Bldg 1130 Luke Afb, AZ - 853091529 |
Business Phone Number: | 6238569926 |
Business Fax Number: | |
Mailing Address: | 3413 Thunderbird St, GLENDALE |
State: | AZ |
Postal Code: | 853072143 |
Phone Number: | 6233747648 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 9266402 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |