Tashika Monique Hathaway REGISTERED NURSE

NPI 1053575829 - Registered Nurse - 163WH0200X

NPI Details
NPI 1053575829
Gender Female
Enumeration Date 07/10/2008
Last Updated 07/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
400 KIMBER RD
SYRACUSE NY, 13224-1836, US
Phone (315) 446-9011
Fax
Business Location
643 BALLANTYNE RD
SYRACUSE NY, 13207-2416, US
Phone (315) 422-0221
Fax
Toxanomy
Taxonomy Code 163WH0200X
License State New York
License Number 599006
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According to our database, Ms. Tashika Monique Hathaway REGISTERED NURSE NPI is 1053575829, taxonomy code is 163WH0200X and license number is 599006, license state is located at New York. Tashika Monique Hathaway REGISTERED NURSE physically located at 400 Kimber Rd, Syracuse NY, 13224-1836. NPI Number Tashika Monique Hathaway REGISTERED NURSE has the Individual type.

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1053575829 NPI number is provided on an as is basis without warranty of any kind. 1053575829 is maintained by the National Plan & Provider Enumeration System. The contents of Tashika Monique Hathaway REGISTERED NURSE are for informational purposes only.