Provider Demographics
NPI:1639503196
Name:GARTEN, HATTIE JANETTE (LPN)
Entity Type:Individual
Prefix:
First Name:HATTIE
Middle Name:JANETTE
Last Name:GARTEN
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 1:529 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8324
Mailing Address - Country:US
Mailing Address - Phone:740-466-5717
Mailing Address - Fax:
Practice Address - Street 1:529 VERNON DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8324
Practice Address - Country:US
Practice Address - Phone:740-466-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN110672 MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse