Provider Demographics
NPI:1982986337
Name:HATFIELD, PAMELA S (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:LENORE
Mailing Address - State:WV
Mailing Address - Zip Code:25676-0137
Mailing Address - Country:US
Mailing Address - Phone:304-475-2251
Mailing Address - Fax:
Practice Address - Street 1:HC 70, BOX 151
Practice Address - Street 2:
Practice Address - City:LENORE
Practice Address - State:WV
Practice Address - Zip Code:25676-0137
Practice Address - Country:US
Practice Address - Phone:304-475-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV64585363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner