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NPI Code Detail

MEDICARE: ASHLEY C HATTEN RN

MEDICARE: ASHLEY C HATTEN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker20349TX

General Provider Information

NPI Number : 1982402293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY C HATTEN RN
Provider Business Mailing Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-625-4254
Fax Number : 817-740-8612
Provider Business Practice Location Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-625-4254
Fax Number : 817-740-8612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2025
Last Update Date : 04/14/2026

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