CAROL J HATHAWAY MN ARNP INC NPI 1750597803

NPI Information

NPI: 1750597803
Provider Name: CAROL J HATHAWAY MN ARNP INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
113 S EUNICE ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-1775
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CAROL J HATHAWAY MN ARNP INC is a mental health counselor in Port Angeles, WA. CAROL J HATHAWAY MN ARNP INC NPI is 1750597803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 S EUNICE ST
PORT ANGELES, WA
ZIP 98362-333
Phone: (360) 452-1775
Fax: (360) 452-1722

The provider's authorized official is Carol J Hathaway .
The authorized official title is Owner and has the following contact phone number (360) 452-1775.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 2/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	AP30006082	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8803903	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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