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Organization
HAWTHORN WELLNESS CLINIC PLLC
Active
Organization
HAWTHORN WELLNESS CLINIC PLLC
Active
Other names
Hawthorn Wellness Clinic PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MARIE DONOVAN NP (OWNER/PRACTIONER)
(319) 621-9466
Entity
Organization
Contact information
Practice address
565 CAMERON WAY STE 103, NORTH LIBERTY, IA 52317-4868
(319) 499-5410
Mailing address
320 LOCUST DR, NORTH LIBERTY, IA 52317-7801
(319) 621-9466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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