Provider Demographics
NPI:1184314791
Name:HATTON, TERA MARIE
Entity type:Individual
Prefix:
First Name:TERA
Middle Name:MARIE
Last Name:HATTON
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 1:6127 CEDAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1059
Mailing Address - Country:US
Mailing Address - Phone:513-446-2214
Mailing Address - Fax:
Practice Address - Street 1:6127 CEDAR HILL LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1059
Practice Address - Country:US
Practice Address - Phone:513-446-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty