Individual
SHUNTELLE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 663-2430
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP7573
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN138878
AZ
Other
Enumeration date
01/20/2015
Last updated
06/19/2020
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