Individual
ELIZABETH ASPEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, AGNP-C
Contact information
Practice address
7400 W STATE ST APT 240, WAUWATOSA, WI 53213-2772
(616) 570-7689
Mailing address
7400 W STATE ST APT 240, WAUWATOSA, WI 53213-2772
(616) 570-7689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
14556-33
WI
363LG0600X
Gerontology Nurse Practitioner
14556-33
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
14556-33
WI
Other
Enumeration date
09/22/2023
Last updated
01/20/2025
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