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NPI Code Detail

MEDICARE: NICHOLAS HATCHER

MEDICARE: NICHOLAS HATCHER
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner21856TN

General Provider Information

NPI Number : 1316496706
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS HATCHER
Provider Business Mailing Address
First Line : 304 GEORGETOWN RD NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-1625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1309 COFFEEN AVE STE 1200
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-5777
Country : US
Telephone Number : 888-680-7417
Fax Number : 888-494-1717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 05/04/2021

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Directions to “ NICHOLAS HATCHER ” Practice Location

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