Hathaway, Mildred

Hathaway, Mildred is an individual health care provider with primary practice located at 755 E Mcdowell Rd , Phoenix AZ 85006-2506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hathaway, Mildred can be contacted via phone (602) 371-2964.

Contact Information

Primary practice address
755 E Mcdowell Rd Phoenix AZ 85006-2506
Phone: (602) 371-2964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN045974 Arizona

Profile Details

NPI number 1578533071
LBN Legal business name Hathaway, Mildred
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1578533071 NPPES
Arizona MEDICAID 491829

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