Provider Demographics
NPI:1184357774
Name:HATFIELD, STEPHANNIE ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:STEPHANNIE
Middle Name:ANN
Last Name:HATFIELD
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 1:57 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3903
Mailing Address - Country:US
Mailing Address - Phone:978-971-8446
Mailing Address - Fax:
Practice Address - Street 1:57 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3903
Practice Address - Country:US
Practice Address - Phone:978-971-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN57094164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse