Provider Demographics
NPI:1922613512
Name:HATER, CATRINA YVENNE
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:YVENNE
Last Name:HATER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MARILEE DR
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45345-1448
Mailing Address - Country:US
Mailing Address - Phone:937-687-6063
Mailing Address - Fax:
Practice Address - Street 1:225 MARILEE DR
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45345-1448
Practice Address - Country:US
Practice Address - Phone:937-687-6063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care