IndividualActive
Kimberly Hathcock
NPI 1609809128 · Gerontology Nurse Practitioner · Reno, NV
Provider details
- NPI number
- 1609809128
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APN00424 (NV)
Practice location
5250 Neil Rd
Ste 207
Reno, NV 89502-6556
Phone: (775) 334-4178
Fax: (775) 328-1201
Mailing address
586 Venturacci Ln
Fallon, NV 89406-5753
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2018-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.