Individual
DANIEL L HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(574) 265-5346
Mailing address
706 W TOWER ST, PIERCETON, IN 46562-9459
(574) 265-5346
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28206271A
IN
363L00000X
Nurse Practitioner
Primary
71012932A
IN
Other
Enumeration date
06/02/2022
Last updated
09/28/2022
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