Basic Information
| Provider Information | |||||||||
| NPI: | 1316981301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HATCHER | ||||||||
| FirstName: | DIANE | ||||||||
| MiddleName: | MARY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 E WEST HWY | ||||||||
| Address2: | APT 426 | ||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209103230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102908963 | ||||||||
| FaxNumber: | 2027820740 | ||||||||
| Practice Location | |||||||||
| Address1: | WALTER REED ARMY MEDICAL CENTER, DEPT OF PEDIATRIC | ||||||||
| Address2: | 6900 GEORGIA AVE NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203070001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027821967 | ||||||||
| FaxNumber: | 2027820740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 04/11/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | R121070 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.