RAVEN HATHAWAY

JOHNSON CITY, NY
NPI1285519850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  357629)
Enumeration Date2025-08-11
Last Update Date2025-08-11
Business Address
RAVEN HATHAWAY FNP-BC
30 HARRISON ST
JOHNSON CITY, NY 13790-2161
Phone number: 607-763-0088
Mailing Address
RAVEN HATHAWAY FNP-BC
33 LEWIS RD FL 2
BINGHAMTON, NY 13905-1055
Phone number: 607-770-0025
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