Individual
MS. ROBIN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 581-5852
(816) 347-3046
Mailing address
1401 SW 8TH TER, LEES SUMMIT, MO 64081-2516
(913) 231-7105
(816) 347-3046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
054062
MO
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
163W0000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208480319
—
MO
Enumeration date
09/30/2016
Last updated
09/30/2016
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