Individual
AMANDA LORIN TAYLOR HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-7373
Mailing address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-7373
(618) 282-5476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023593
IL
Other
Enumeration date
06/22/2020
Last updated
07/12/2022
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