IndividualActive
Elizabeth Hathaway, MSN, APNP, AGNP-C
NPI 1477332153 · Primary Care Nurse Practitioner · Wauwatosa, WI
Provider details
- NPI number
- 1477332153
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APNP, AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 14556-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7400 W State St Apt 240
Wauwatosa, WI 53213-2772
Phone: (616) 570-7689
Approximate (ZIP-level) locationGet directions
Mailing address
7400 W State St Apt 240
Wauwatosa, WI 53213-2772
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.