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Individual

RANATA L HATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1501 S WALDRON RD, STE 100, FORT SMITH, AR 72903-2574
(479) 709-7337
(479) 709-7461
Mailing address
PO BOX 402330, ATLANTA, GA 30384-2330
(479) 709-7399

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
S01122
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158544758
AR
05
200064920A
OK
Enumeration date
12/05/2005
Last updated
08/13/2010
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