Individual
CRYSTAL LYNN HATHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
222 SOUTHWIND PL, MANHATTAN, KS 66503-3123
(785) 560-3101
(785) 200-3766
Mailing address
3024 RUCKER RD, JUNCTION CITY, KS 66441-8365
(210) 216-0931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5382806032
KS
Other
Enumeration date
01/24/2024
Last updated
01/08/2025
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