Individual
FELICIA CARMELLE HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4919
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 457-5200
(618) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008023041
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010812
IL
Other
Enumeration date
10/03/2013
Last updated
09/17/2018
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