Individual
MRS. DIANE E HATTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3235 SPARKS RD, SUITE 200, CHEYENNE, WY 82001-6151
(307) 638-8975
(307) 634-9267
Mailing address
4003 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 638-8975
(307) 634-9267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16129.0890
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124192300
—
WY
01
—
P00605061
RAILROAD MEDICARE - PALMETTO GBA
—
Enumeration date
02/21/2007
Last updated
02/27/2017
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