Sally Hatch, FNP

Individual provider Active NPI Family Nurse Practitioner · Mena, AR

NPI 1689756306 · NPPES record last updated Dec 5, 2007

Key facts

NPI
1689756306
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A01878ANP (AR)
Practice address
311 Morrow St N
Mena, AR 71953-2516
Phone
(479) 243-2333
Fax
(479) 394-4577
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01878ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Emergency Physicians PLLC Past Accepting new patients
Healthy Connections Incorporated Past
since Apr 1, 2009
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A01878ANP AR Yes

Addresses

Primary practice location

311 Morrow St N
Mena, AR 71953-2516

Mailing address

311 Morrow St N
Mena, AR 71953-2516
Phone (479) 243-2333

Other providers in Mena, AR

All providers in Mena, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.