Basic Information
| Provider Information | |||||||||
| NPI: | 1003144536 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HATCH | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 S 2000 E | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841125880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015813077 | ||||||||
| FaxNumber: | 8015813324 | ||||||||
| Practice Location | |||||||||
| Address1: | 10 S 2000 E | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841125880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015813077 | ||||||||
| FaxNumber: | 8015813324 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2009 | ||||||||
| LastUpdateDate: | 04/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 0001221627 | VA | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN1017399 | DC | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN00163313 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 0024168513 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | RN1017399 | DC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.