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Individual

SYLVIA IRENE HATHAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
806 E MAIN ST, FLIPPIN, AR 72634-8668
(870) 453-2266
(870) 453-8766
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5733
(870) 448-3767

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004361
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912191438
MO
05
209084758
AR
Enumeration date
08/28/2007
Last updated
03/13/2020
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