Individual provider · Type 1 NPI
Joseph Harnett Hatheway, FNP
Family Nurse Practitioner · Sebastopol, CA
NPI number
1386296242
Active
Practice location
568 Live Oak Ave Ste H
Sebastopol, CA 95472-3361
Fax (707) 869-8170
Mailing address
568 Live Oak Ave
Sebastopol, CA 95472-3361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95012031 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386296242
Joseph Harnett Hatheway, FNP's National Provider Identifier is 1386296242, issued on Jul 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sebastopol, CA. The record was last updated on Jul 11, 2019.