Doctor Name: | MS. LINDA HATCH |
NPI Number: | 1073523122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 088006723N1-FNP-PP |
Business Practice Address: | 375 Nw Beaver St Prineville, OR - 977541802 |
Business Phone Number: | 5414470707 |
Business Fax Number: | 5414470708 |
Mailing Address: | 375 Nw Beaver St, PRINEVILLE |
State: | OR |
Postal Code: | 977541802 |
Phone Number: | 5414470707 |
Fax Number: | 5414470708 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 088006723N1-FNP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |