Doctor Name: | MS. BARBARA HATHAWAY |
NPI Number: | 1588770432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 92888 |
Business Practice Address: | 1901 S Shady St Mountain City, TN - 376832021 |
Business Phone Number: | 4237271150 |
Business Fax Number: | 4237271152 |
Mailing Address: | Po Box 70403, JOHNSON CITY |
State: | TN |
Postal Code: | 376141703 |
Phone Number: | 4234394071 |
Fax Number: | 4234394060 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 92888 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |