Tina R Hadlock, RN.
Registered Nurse in Ft, Duchesne, UT. Individual provider (NPI-1).
NPI number1982805347
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982805347
- Entity type
- Individual (NPI-1)
- Name
- Tina R Hadlock
- Credential
- RN.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 196798-3102 | UT | Yes |
Practice location
6822 E 1000 SFt, Duchesne, UT 84026-0160
Phone 435-722-5122
Mailing address
Po Box 252Roosevelt, UT 84066-0252
Phone 435-722-5122
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