MEDICARE: TIMOTHY WAYNE HATCH

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	163W00000X	Registered Nurse	11013664-3102	UT

General Provider Information

NPI Number	:	1922957836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY WAYNE HATCH

Provider Business Mailing Address
First Line	:	1401 E STAGECOACH LN
Second Line	:
City	:	ENOCH
State	:	UT
Zip	:	84721-7436
Country	:	US
Telephone Number	:	435-586-2899
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 W 800 S
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-1202
Country	:	US
Telephone Number	:	435-586-2899
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ TIMOTHY WAYNE HATCH ” Practice Location

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