MEDICARE: MRS. ASHLEY PEARLYN 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
1	363LF0000X	Family Nurse Practitioner	RN184360	AZ

General Provider Information

NPI Number	:	1932680147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY PEARLYN HATCH NP

Provider Business Mailing Address
First Line	:	6316 E FOREST PLEASANT PL
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-2539
Country	:	US
Telephone Number	:	480-980-6586
Fax Number	:

Provider Business Practice Location Address
First Line	:	6316 E FOREST PLEASANT PL
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-2539
Country	:	US
Telephone Number	:	480-980-6586
Fax Number	:

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

Provider Enumeration Date	:	08/25/2018
Last Update Date	:	08/25/2018

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