Healthcare Provider Details
I. General information
NPI: 1831879055
Provider Name (Legal Business Name): SARA FRANCES HATFIELD PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2023
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 NW 3RD ST STE 104
EVANSVILLE IN
47708-1227
US
IV. Provider business mailing address
220 NW 3RD ST STE 104
EVANSVILLE IN
47708-1227
US
V. Phone/Fax
- Phone: 812-287-9006
- Fax:
- Phone: 812-287-9006
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 71014115A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: