Hathaway, Barbara

Hathaway, Barbara is an individual health care provider with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hathaway, Barbara can be contacted via phone (423) 727-1150.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (423) 727-1150
Fax: (423) 727-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 92888 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 92888 Tennessee

Profile Details

NPI number 1588770432
LBN Legal business name Hathaway, Barbara
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588770432 NPPES
Tennessee MEDICAID 1506702
Tennessee MEDICAID 7000164
Tennessee Other TN0164
Tennessee Other 4309010
Tennessee MEDICAID 77-8563-1

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