Individual
NINA HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E CHIPPEWA ST, MT PLEASANT, MI 48858-1609
(989) 772-1261
Mailing address
4205 E TOWNLINE LAKE RD, HARRISON, MI 48625-9240
(989) 630-0019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089945
MI
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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