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NPI Code Detail

MEDICARE: SHIRLEY A. HATTEN LPN

MEDICARE:   SHIRLEY A. HATTEN  LPN
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
1164W00000XLicensed Practical Nurse088660OH

General Provider Information

NPI Number : 1508060948
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY A. HATTEN LPN
Provider Business Mailing Address
First Line : 12700 STATE ROUTE 348
Second Line :
City : OTWAY
State : OH
Zip : 45657-9528
Country : US
Telephone Number : 937-587-2353
Fax Number :
Provider Business Practice Location Address
First Line : 12700 STATE ROUTE 348
Second Line :
City : OTWAY
State : OH
Zip : 45657-9528
Country : US
Telephone Number : 937-587-2353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 06/28/2018

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Directions to “ SHIRLEY A. HATTEN LPN” Practice Location

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