Provider Demographics
NPI:1205178613
Name:HATFIELD, LAURA DAWN (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DAWN
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 N 3RD ST
Mailing Address - Street 2:SOUTHWEST BEHAVIORAL HEALTH SERVICES
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2331
Mailing Address - Country:US
Mailing Address - Phone:602-268-8748
Mailing Address - Fax:
Practice Address - Street 1:4420 S 32ND ST
Practice Address - Street 2:SOUTHWEST BEHAVIORAL HEALTH SERVICES
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-2804
Practice Address - Country:US
Practice Address - Phone:602-268-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-24
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4856363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health