Healthcare Provider Details

I. General information

NPI: 1629984307
Provider Name (Legal Business Name): ANGELA HATCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4614 WAVERLY RD
HUNTINGTON WV
25704-1039
US

IV. Provider business mailing address

3950 1/2 TEAYS VALLEY RD
HURRICANE WV
25526-8728
US

V. Phone/Fax

Practice location:
  • Phone: 304-429-3287
  • Fax:
Mailing address:
  • Phone: 304-429-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: