Hathaway, Valerie Lynn

Hathaway, Valerie Lynn is an individual health care provider with primary practice located at 5952 Clark Center Ave , Sarasota FL 34238-2715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hathaway, Valerie Lynn can be contacted via phone (941) 924-9955.

Contact Information

Primary practice address
5952 Clark Center Ave Sarasota FL 34238-2715
Phone: (941) 924-9955
Fax: (941) 924-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1096022 Florida

Profile Details

NPI number 1376545608
LBN Legal business name Hathaway, Valerie Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2019 - about 5 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 1376545608 NPPES
Florida MEDICAID 307342400

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