Provider Demographics
NPI:1316981301
Name:HATCHER, DIANE MARY (APN)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:MARY
Last Name:HATCHER
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Gender:F
Credentials:APN
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Mailing Address - Street 1:1400 E WEST HWY
Mailing Address - Street 2:APT 426
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3230
Mailing Address - Country:US
Mailing Address - Phone:410-290-8963
Mailing Address - Fax:202-782-0740
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER, DEPT OF PEDIATRIC
Practice Address - Street 2:6900 GEORGIA AVE NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-1967
Practice Address - Fax:202-782-0740
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2012-04-11
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Provider Licenses
StateLicense IDTaxonomies
MDR121070363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics