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NPI Code Detail

MEDICARE: SALLY ANN HATON APRN, FNP-C

MEDICARE: SALLY ANN HATON APRN, FNP-C
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
1207Q00000XFamily Medicine Physician848469NV

General Provider Information

NPI Number : 1396626628
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY ANN HATON APRN, FNP-C
Provider Business Mailing Address
First Line : 6248 SUPERNOVA HILL ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3743
Country : US
Telephone Number : 702-908-5125
Fax Number :
Provider Business Practice Location Address
First Line : 5225 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-0137
Country : US
Telephone Number : 702-253-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2025
Last Update Date : 09/11/2025

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