Individual
PHILLIP CRAIG HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
908 N ROCKFORD RD, ARDMORE, OK 73401-2540
(580) 223-0447
(580) 223-2989
Mailing address
306 HIDDEN PATH, ARDMORE, OK 73401-5576
(580) 504-5467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200220
OK
Other
Enumeration date
02/06/2021
Last updated
03/26/2025
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