Provider Demographics
NPI:1831304138
Name:HATCH, CHRISTINE (MSRN, CS, NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HATCH
Suffix:
Gender:F
Credentials:MSRN, CS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HIGHLAND AVE
Mailing Address - Street 2:STE 24
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3873
Mailing Address - Country:US
Mailing Address - Phone:978-462-1555
Mailing Address - Fax:978-462-1560
Practice Address - Street 1:21 HIGHLAND AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3872
Practice Address - Country:US
Practice Address - Phone:978-462-1555
Practice Address - Fax:978-462-1560
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149277363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAQX6333OtherMEDICARE PTAN