NPI 1225904683

Mikael David Hatfield, CPRC

Practitioner Peer Specialist Coeur D Alene, ID

Practice location

Address: 3918 N Schreiber Way STE B, Coeur D Alene, ID 83815-8395
Phone: (208) 261-9948

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 13066 (ID)

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Registry record

NPI: 1225904683
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2025
Record last updated: 14 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.