MEDICARE: MRS. CHEAQUITA MONIQUE HATTEN

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
1	343900000X	Non-emergency Medical Transport (VAN)
2	376K00000X	Nurse's Aide	10098003	SC

General Provider Information

NPI Number	:	1114858131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHEAQUITA MONIQUE HATTEN

Provider Business Mailing Address
First Line	:	31 BOLAND CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-5730
Country	:	US
Telephone Number	:	864-767-7740
Fax Number	:	864-767-7742

Provider Business Practice Location Address
First Line	:	31 BOLAND CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-5730
Country	:	US
Telephone Number	:	864-767-7740
Fax Number	:	864-767-7742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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