Basic Information
Provider Information
NPI: 1003144536
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HATCH
FirstName: CATHERINE
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN00163313WAN Nursing Service ProvidersRegistered Nurse 
163W00000XRN1017399DCN Nursing Service ProvidersRegistered Nurse 
163W00000X0001221627VAN Nursing Service ProvidersRegistered Nurse 
363LF0000XRN1017399DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X0024168513VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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