Provider Demographics
NPI:1700924024
Name:HATCH, DANIEHLE (RN)
Entity Type:Individual
Prefix:
First Name:DANIEHLE
Middle Name:
Last Name:HATCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85547-0919
Mailing Address - Country:US
Mailing Address - Phone:928-474-2233
Mailing Address - Fax:928-472-2059
Practice Address - Street 1:301 S. MCLANE RD.
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-0919
Practice Address - Country:US
Practice Address - Phone:928-474-2233
Practice Address - Fax:928-472-2059
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN035534163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ768608OtherAHCCCS