Dawn Ray Hatchew, AGCNS-BC
Individual provider Active NPI Clinical Nurse Specialist · Sparta, MI
NPI 1508658162 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1508658162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- 2024103706 (MI)
- Practice address
- 333 Indian Lakes Rd NE
Sparta, MI 49345-8541 - Phone
- (616) 799-4645
- NPI assigned
- May 20, 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 |
|---|---|---|---|
| 2024103706 | MI | MD | Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 2024103706 | MI | Yes |
Addresses
Primary practice location
333 Indian Lakes Rd NE
Sparta, MI 49345-8541
Mailing address
333 Indian Lakes Rd NE
Sparta, MI 49345-8541
Phone (616) 799-4645
Other providers in Sparta, MI
- Matthew B Goodfellow
- Nikki Kae Grindle
- Sydney Hardy
- David Ryan Harkema
- Harry L Hadley Jr DC
- Laura Jane Hickman
- Tiffany Hinds
- Aryanna Lee Hoekstra
- Home Care by Design
- Home Health Associates, LLC
All providers in Sparta, MI · Clinical Nurse Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 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.