Provider Demographics
NPI:1053625228
Name:HATCHER, VALARIE L (LPN)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:L
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:L
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:1124 GRACEWIND CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4604
Mailing Address - Country:US
Mailing Address - Phone:513-227-9861
Mailing Address - Fax:
Practice Address - Street 1:1124 GRACEWIND CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4604
Practice Address - Country:US
Practice Address - Phone:513-227-9861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN125212164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3090202Medicaid
OH3109899OtherDEVLOPEMENTAL DISABILITIES