Provider Demographics
NPI:1770823080
Name:HATFIELD, BRITTANY (LVN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 PARROT LN
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5720
Mailing Address - Country:US
Mailing Address - Phone:714-369-0624
Mailing Address - Fax:
Practice Address - Street 1:206 PARROT LN
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5720
Practice Address - Country:US
Practice Address - Phone:714-369-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA164W00000X164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse