Provider Demographics
NPI:1538417803
Name:HATCHER, SUSAN WHITFIELD (RN, BSN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:WHITFIELD
Last Name:HATCHER
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 VOLVO PKWY STE 122
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2800
Mailing Address - Country:US
Mailing Address - Phone:757-436-3233
Mailing Address - Fax:757-436-2025
Practice Address - Street 1:801 VOLVO PKWY STE 122
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2800
Practice Address - Country:US
Practice Address - Phone:757-436-3233
Practice Address - Fax:757-436-2025
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001116020163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant