Individual
JUDITH WALDINE HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 523-8779
(606) 523-8721
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4966
(502) 458-5751
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3008397
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5004847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004560
—
NC
05
—
7100273870
—
KY
01
—
P01458976
RR MEDICARE
KY
Enumeration date
08/20/2010
Last updated
12/04/2020
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