Individual
DIANA HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9249248
FL
Other
Enumeration date
01/15/2015
Last updated
12/14/2020
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