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Individual

ALECIA HATHAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 CHAPLINE ST, WHEELING, WV 26003-3875
(304) 232-7151
(304) 232-6128
Mailing address
7 WILLETA AVE, MARTINS FERRY, OH 43935-1252

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25253
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46-2057899
TAX ID
WV
Enumeration date
08/28/2015
Last updated
08/28/2015
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