MEDICARE: JULIE RACHEL HATCH APRN-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
1	363L00000X	Nurse Practitioner	111035	NE

General Provider Information

NPI Number	:	1376774166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE RACHEL HATCH APRN-NP

Provider Business Mailing Address
First Line	:	425 N DIERS AVE
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4910
Country	:	US
Telephone Number	:	308-389-3278
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 N DIERS AVE
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4910
Country	:	US
Telephone Number	:	308-389-3278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	05/20/2011

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