Individual
JAMES C. HATAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1613 NW 136TH AVE, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1758
Mailing address
PO BOX 452319, SUNRISE, FL 33345-2319
(954) 838-2371
(954) 851-1758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666267
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174448
VA
Other
Enumeration date
09/01/2006
Last updated
06/08/2018
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