Provider Demographics
NPI:1720354335
Name:HATCH, EMMA K (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:K
Last Name:HATCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:EMMA
Other - Middle Name:K
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11803 JEFFERSON AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4290
Mailing Address - Country:US
Mailing Address - Phone:757-594-1803
Mailing Address - Fax:757-594-1828
Practice Address - Street 1:11803 JEFFERSON AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2565
Practice Address - Country:US
Practice Address - Phone:757-594-1803
Practice Address - Fax:757-594-1828
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003899363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant