Individual provider · Type 1 NPI

Kimberly Edith Hathcock

Gerontology Nurse Practitioner · Reno, NV

NPI number 1609809128 Active

Practice location

5250 Neil Rd, Ste 207
Reno, NV 89502-6556

Fax (775) 328-1201

Mailing address

586 Venturacci Ln
Fallon, NV 89406-5753

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPN00424 (NV)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1609809128

Kimberly Edith Hathcock's National Provider Identifier is 1609809128, issued on Jul 8, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Reno, NV. The record was last updated on Jan 8, 2018.