Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Konnor James Hathaway, RN

Individual provider Registered Nurse · NPI 1609749282

Konnor James Hathaway, RN is a Registered Nurse in Travis AFB, California. Licensed in California and Oregon. Registered with an NPI since 2025.

Licensed in
CA, OR
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

101 Bodin Cir Bldg 777
Travis AFB, CA 94535-1809
Phone: (707) 423-3117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 10003980 (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN95372929 (CA)

Record details

NPI number1609749282
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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