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Individual

NICOLE HATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4000 COLISEUM DR, STE 445, HAMPTON, VA 23666-5906
(757) 827-2127
(757) 827-2255
Mailing address
4000 COLISEUM DR, STE 445, HAMPTON, VA 23666-5906
(757) 827-2127
(757) 827-2255

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002968
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110002968
PHYSICIAN ASSISTANT LICENSE
VA
Enumeration date
07/18/2006
Last updated
05/03/2011
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