Individual
AMANDA HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
Mailing address
8660 GREGG RD, FREDERICKTOWN, OH 43019-9277
(304) 657-2120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132407
OH
367500000X
Certified Registered Nurse Anesthetist
132407
WV
Other
Enumeration date
06/02/2021
Last updated
03/14/2023
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