Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0024168513 | VA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN1017399 | DC |
NPI | 1003144536 |
---|---|
Provider Name | Catherine Ann Hatch |
First Address | Salt Lake City, UT 84112-5880 |
Second Address | Salt Lake City, UT 84112-5880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2009 |
Last Update Date | 21/04/2016 |