Hathaway, Regina L

Hathaway, Regina L is an sole proprietor health care provider with primary practice located at 2485D Hemby Ln Med Careeast Pa, Greenville NC 27834-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hathaway, Regina L can be contacted via phone (252) 758-5888.

Contact Information

Primary practice address
2485D Hemby Ln Med Careeast Pa Greenville NC 27834-3733
Fax: (252) 758-9888
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201135 North Carolina

Profile Details

NPI number 1982661930
LBN Legal business name Hathaway, Regina L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jan 31st, 2008 - 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 1982661930 NPPES
North Carolina MEDICAID 7000999

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