Doctor Name: | MRS. JUDY HATCH |
NPI Number: | 1104958404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., M.S.N, IBCLC |
License Number: | 112069 |
Business Practice Address: | 453 Main St Hampden, MA - 010369682 |
Business Phone Number: | 4135329446 |
Business Fax Number: | |
Mailing Address: | Po Box 96, HAMPDEN |
State: | MA |
Postal Code: | 010360096 |
Phone Number: | 4135663635 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 112069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |