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Individual

MRS. PATRICIA LOUISE HATFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1404 FERN CREEK DR, STATESVILLE, NC 28625-2862
(704) 978-4025
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
138892
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296990
UNISON HEALTH PLAN OF SC
SC
01
164XF
BCBSNC
NC
01
20097008
SELECT HEALTH OF SC
SC
01
2687
EVOLUTIONS
NC
01
775111
WELLCARE
SC
01
9951100
AETNA
NC
05
NP1210
SC
01
P01090038
MEDICARE RAILROAD
NC
Enumeration date
12/14/2007
Last updated
07/27/2021
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