Provider Demographics
NPI:1841674017
Name:HATCHER, NATASHA DANIELLE (APRN)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:DANIELLE
Last Name:HATCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:DANIELLE
Other - Last Name:LAMACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1545 BRANAN FIELD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8429
Mailing Address - Country:US
Mailing Address - Phone:904-450-8575
Mailing Address - Fax:
Practice Address - Street 1:1545 BRANAN FIELD RD STE 1
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8429
Practice Address - Country:US
Practice Address - Phone:904-450-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9330259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015660500Medicaid
FL015660500Medicaid