Provider Demographics
NPI:1336189109
Name:HATCH-CLEIN, ANNETTE MARIE (FNP, PMH CNS)
Entity Type:Individual
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First Name:ANNETTE
Middle Name:MARIE
Last Name:HATCH-CLEIN
Suffix:
Gender:F
Credentials:FNP, PMH CNS
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Mailing Address - Street 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-989-0550
Mailing Address - Fax:207-989-0551
Practice Address - Street 1:234 STATE ST
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1519
Practice Address - Country:US
Practice Address - Phone:207-989-0550
Practice Address - Fax:207-989-0551
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP84152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S02941Medicare UPIN