Provider Demographics
NPI:1447334065
Name:HATFIELD, MARGARET MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARIE
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4820 FARINGDOM GROVE
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426
Mailing Address - Country:US
Mailing Address - Phone:616-662-8103
Mailing Address - Fax:616-662-8104
Practice Address - Street 1:1055 MEDICAL PARK DRIVE SE
Practice Address - Street 2:FOREST VIEW PSYCHIATRIC HOSPITAL
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-942-9610
Practice Address - Fax:616-957-9645
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704087213363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S58391Medicare UPIN
MIOM61890Medicare ID - Type Unspecified