MEDICARE: TERA MARIE HATTON

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	374J00000X	Doula

General Provider Information

NPI Number	:	1184314791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERA MARIE HATTON

Provider Business Mailing Address
First Line	:	6127 CEDAR HILL LN
Second Line	:
City	:	FLORENCE
State	:	KY
Zip	:	41042-1059
Country	:	US
Telephone Number	:	513-446-2214
Fax Number	:

Provider Business Practice Location Address
First Line	:	6127 CEDAR HILL LN
Second Line	:
City	:	FLORENCE
State	:	KY
Zip	:	41042-1059
Country	:	US
Telephone Number	:	513-446-2214
Fax Number	:

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

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	05/09/2023

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Directions to “ TERA MARIE HATTON ” Practice Location

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