Individual provider · Type 1 NPI

Raven Hathaway, FNP-BC

Family Nurse Practitioner · Johnson City, NY

NPI number 1285519850 Active

Practice location

30 Harrison St
Johnson City, NY 13790-2161

Mailing address

33 Lewis Rd Fl 2
Binghamton, NY 13905-1055

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X357629 (NY)

Family Nurse Practitioner: Definition to come...

35 other providers at this address

Other family nurse practitioner providers in Johnson City

See all in Johnson City →

About NPI 1285519850

Raven Hathaway, FNP-BC's National Provider Identifier is 1285519850, issued on Aug 11, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, NY. The record was last updated on Aug 11, 2025.