Provider Demographics
NPI:1427494020
Name:RHEAMS, HATTIE H (REGISTRED NURSE)
Entity type:Individual
Prefix:PROF
First Name:HATTIE
Middle Name:H
Last Name:RHEAMS
Suffix:
Gender:F
Credentials:REGISTRED NURSE
Other - Prefix:PROF
Other - First Name:HATTIE
Other - Middle Name:H
Other - Last Name:RHEAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:9412 W TAMPA DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-8950
Mailing Address - Country:US
Mailing Address - Phone:225-975-4489
Mailing Address - Fax:225-926-6655
Practice Address - Street 1:9412 W TAMPA DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-8950
Practice Address - Country:US
Practice Address - Phone:225-926-2721
Practice Address - Fax:225-926-6655
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN053309163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse