Provider Demographics
NPI:1619442738
Name:HYATT, ABIE HOPE (LPN)
Entity Type:Individual
Prefix:
First Name:ABIE
Middle Name:HOPE
Last Name:HYATT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2859
Mailing Address - Country:US
Mailing Address - Phone:308-432-0700
Mailing Address - Fax:
Practice Address - Street 1:602 E 10TH ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2859
Practice Address - Country:US
Practice Address - Phone:308-432-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25960164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse