Gia Laraye Hatcher
Individual provider Active NPI Licensed Practical Nurse · Louisburg, NC
NPI 1093697690 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1093697690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 73760 (NC)
- Practice address
- 248 Douglas Williams Rd
Louisburg, NC 27549-8295 - Phone
- (330) 564-5362
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73760 | NC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 73760 | NC | Yes |
Addresses
Primary practice location
248 Douglas Williams Rd
Louisburg, NC 27549-8295
Mailing address
248 Douglas Williams Rd
Louisburg, NC 27549-8295
Phone (330) 564-5362
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All providers in Louisburg, NC · Licensed Practical Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.