Provider Demographics
NPI:1396704995
Name:HATTEN, KAREN PATRICIA (FNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:PATRICIA
Last Name:HATTEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MEDICAL CT
Mailing Address - Street 2:
Mailing Address - City:OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:31068-2000
Mailing Address - Country:US
Mailing Address - Phone:478-458-9992
Mailing Address - Fax:478-458-9969
Practice Address - Street 1:300 MEDICAL CT
Practice Address - Street 2:
Practice Address - City:OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:31068-2000
Practice Address - Country:US
Practice Address - Phone:478-458-9992
Practice Address - Fax:478-458-9969
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN079347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003129890AMedicaid
GA003129890AMedicaid