| Doctor Name: | KATHRIN G HASTEY |
| NPI Number: | 1003944679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP081364 |
| Business Practice Address: | 79 Parkway South Brewer, ME - 04412 |
| Business Phone Number: | 2079922456 |
| Business Fax Number: | 2079922439 |
| Mailing Address: | Po Box 1599, BANGOR |
| State: | ME |
| Postal Code: | 044021599 |
| Phone Number: | 2079455247 |
| Fax Number: | 2079470435 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP081364 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |