Individual
HEIDI HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Mailing address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0480
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332589
—
NH
05
—
434457399
—
ME
01
—
P00766442
RAILROAD MEDICARE
NH
01
—
PA4379
LICENSE
MA
Enumeration date
11/29/2006
Last updated
02/27/2013
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