Provider Demographics
NPI:1891779674
Name:HATCHER, RANATA L (APN)
Entity Type:Individual
Prefix:
First Name:RANATA
Middle Name:L
Last Name:HATCHER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402330
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-2330
Mailing Address - Country:US
Mailing Address - Phone:479-709-7399
Mailing Address - Fax:
Practice Address - Street 1:1501 S WALDRON RD
Practice Address - Street 2:STE 100
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-2574
Practice Address - Country:US
Practice Address - Phone:479-709-7337
Practice Address - Fax:479-709-7461
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARS01122363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158544758Medicaid
OK200064920AMedicaid
ARQ56864Medicare UPIN
OK200064920AMedicaid