Provider Demographics
NPI:1083085690
Name:HATLEY, CINDY L (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:HATLEY
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9332 ANNAPOLIS RD STE 309
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3170
Mailing Address - Country:US
Mailing Address - Phone:240-484-1473
Mailing Address - Fax:301-409-0307
Practice Address - Street 1:9332 ANNAPOLIS RD STE 309
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3170
Practice Address - Country:US
Practice Address - Phone:240-484-1473
Practice Address - Fax:301-409-0307
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197877363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily