Individual
LISA MARIE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
2819 GREAT NORTHERN LOOP STE 100, MISSOULA, MT 59808-1750
(406) 282-3495
Mailing address
2819 GREAT NORTHERN LOOP STE 100, MISSOULA, MT 59808-1750
(406) 327-3350
(406) 327-3355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86048867
MT
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-94043
MT
363AM0700X
Medical Physician Assistant
1176977
NV
Other
Enumeration date
01/14/2021
Last updated
10/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us