Healthcare Provider Details
I. General information
NPI: 1457530529
Provider Name (Legal Business Name): KAREN HATFIELD APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/25/2007
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CAPITAL WAY
PENNINGTON NJ
08534
US
IV. Provider business mailing address
1 CAPITAL WAY
PENNINGTON NJ
08534-2520
US
V. Phone/Fax
- Phone: 609-303-4000
- Fax:
- Phone: 609-303-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | L10023396 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | TP004588D |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0222X |
| Taxonomy | Critical Care Pediatric Nurse Practitioner |
| License Number | 26NN10685900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: