Individual
OLIVIA MATTICE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
Mailing address
49 MOUNT VERNON ST UNIT C, DOVER, NH 03820-3030
(434) 987-7938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084800-21
NH
363LP2300X
Primary Care Nurse Practitioner
084800-23
NH
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP251044
ME
Other
Enumeration date
03/21/2023
Last updated
04/03/2025
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