| NPI | 1184800674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE E HATTEL Owner 307-638-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 16129.0890) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-03-14 |