Provider Demographics
NPI:1144249681
Name:HATCH, DANIEL FORREST (RN,MSN,FNP-C)
Entity type:Individual
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First Name:DANIEL
Middle Name:FORREST
Last Name:HATCH
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Gender:M
Credentials:RN,MSN,FNP-C
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Mailing Address - Street 1:4501 50TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-3613
Mailing Address - Country:US
Mailing Address - Phone:806-745-2931
Mailing Address - Fax:806-792-6093
Practice Address - Street 1:4501 50TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-3613
Practice Address - Country:US
Practice Address - Phone:806-745-2931
Practice Address - Fax:806-792-6093
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP112057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily