Individual
SUSAN HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2631 WOODLAND DR, OGDEN, UT 84403-5113
(760) 731-0313
(760) 731-0414
Mailing address
2631 WOODLAND DR, OGDEN, UT 84403-5113
(760) 731-0313
(760) 731-0414
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200707-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646529
CNOR CERT#
UT
Enumeration date
02/16/2015
Last updated
10/29/2019
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