# MICHAEL HAWTHORNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275043077
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN168720 | GA | — |
| 363LA2200X | Adult Health Nurse Practitioner | F308186 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 404654 | NY | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 07/28/2025