Individual
ABBEY HATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 MILVIA ST, BERKELEY, CA 94704-2636
(510) 204-5600
(510) 506-7722
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8090
(510) 506-7726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95010312
STATE MEDICAL LICENSE
CA
Enumeration date
11/30/2018
Last updated
02/02/2021
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