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NPI Code Detail

MEDICARE: DEBORAH ANN HATCH NP

MEDICARE: DEBORAH ANN 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
1163W00000XRegistered Nurse271188CA
2363LW0102XWomen's Health Nurse Practitioner3057CA
3363L00000XNurse Practitioner3057CA

General Provider Information

NPI Number : 1366528390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN HATCH NP
Provider Business Mailing Address
First Line : 670 9TH ST STE 203
Second Line :
City : ARCATA
State : CA
Zip : 95521-6249
Country : US
Telephone Number : 707-826-8633
Fax Number : 707-826-8638
Provider Business Practice Location Address
First Line : 770 10TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-6210
Country : US
Telephone Number : 707-826-8610
Fax Number : 707-826-8623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 01/11/2017

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