Elizabeth Gail Hathaway, R.N.
Individual provider Active NPI Registered Nurse · Porterville, CA
NPI 1679798656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679798656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN282811 (CA)
- Practice address
- 1344 N Atkins PL
Porterville, CA 93257-1020 - Phone
- (559) 782-8024
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN282811 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN282811 | CA | Yes |
Addresses
Primary practice location
1344 N Atkins PL
Porterville, CA 93257-1020
Mailing address
1344 N Atkins PL
Porterville, CA 93257-1020
Phone (559) 782-8024
Other providers in Porterville, CA
- Lisa A Harris
- Calvin Geogre Hartman
- Cheryl Hartman
- Madina Hasnain
- Syed Sikandar Hasnain
- Phillip Warren Hayes
- Alysha Marie Hays
- Sarah Hayter
- Healogics Specialty Physicians of California, PC
- Healway Medical Transport LLC
All providers in Porterville, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.