Provider Demographics
NPI:1083343578
Name:BATIC, HANNAH MAUPIN (RD)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MAUPIN
Last Name:BATIC
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:JEANNE
Other - Last Name:MAUPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:169 PATRIOTS LANDING
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46128
Mailing Address - Country:US
Mailing Address - Phone:812-216-3037
Mailing Address - Fax:
Practice Address - Street 1:8111 S EMERSON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8601
Practice Address - Country:US
Practice Address - Phone:317-865-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86106673133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered