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NPI Code Detail

MEDICARE: DEBORAH LYNN HATFIELD ARNP

MEDICARE: DEBORAH LYNN HATFIELD ARNP
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
1363LF0000XFamily Nurse Practitioner3004428KY

General Provider Information

NPI Number : 1225022411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LYNN HATFIELD ARNP
Provider Business Mailing Address
First Line : PO BOX 125
Second Line :
City : HARDY
State : KY
Zip : 41531-0125
Country : US
Telephone Number : 606-369-5276
Fax Number :
Provider Business Practice Location Address
First Line : 3175 BEAUMONT CENTRE CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1957
Country : US
Telephone Number : 859-219-5152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/28/2024

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