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NPI Code Detail

MEDICARE: AMY C. HATCH NP

MEDICARE: AMY C. HATCH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner252660MA
2363LP0200XPediatric Nurse PractitionerRN252660MA

General Provider Information

NPI Number : 1811046428
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY C. HATCH NP
Provider Business Mailing Address
First Line : 2 LAKEVILLE BUSINESS PARK
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 LAKEVILLE BUSINESS PARK
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1236
Country : US
Telephone Number : 508-947-0630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 01/16/2024

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