Provider Demographics
NPI:1386839272
Name:HATFIELD, TONYA (ARNP)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 VERSAILLES RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-1405
Mailing Address - Country:US
Mailing Address - Phone:859-257-4888
Mailing Address - Fax:859-323-1123
Practice Address - Street 1:2050 VERSAILLES RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1405
Practice Address - Country:US
Practice Address - Phone:859-323-3013
Practice Address - Fax:859-323-1123
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1093643208100000X, 363LA2100X
KY3005242208100000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation