Healthcare Provider Details

I. General information

NPI: 1871401158
Provider Name (Legal Business Name): MELISSA ANN HATCH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD STE 237
TEMECULA CA
92591-5285
US

IV. Provider business mailing address

29645 RANCHO CALIFORNIA RD STE 237
TEMECULA CA
92591-5285
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-0454
  • Fax: 909-495-1302
Mailing address:
  • Phone: 951-296-0454
  • Fax: 909-495-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: