Provider Demographics
NPI:1407579352
Name:HATCH, AMANDA (CLC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:HATCH
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BLACKWATER CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569-9224
Mailing Address - Country:US
Mailing Address - Phone:828-380-6907
Mailing Address - Fax:
Practice Address - Street 1:27 BLACKWATER CT
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NC
Practice Address - Zip Code:27569-9224
Practice Address - Country:US
Practice Address - Phone:828-380-6907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN