Individual
MS. REGINA L HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2485D HEMBY LN, MED CAREEAST PA, GREENVILLE, NC 27834-3733
(252) 758-5888
(252) 758-9888
Mailing address
2485D HEMBY LN, GREENVILLE, NC 27834-3733
(252) 758-5888
(252) 758-9888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000999
—
NC
Enumeration date
04/26/2006
Last updated
01/31/2008
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