Individual
SHERRI DENISE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1274 NW 55TH TER, MIAMI, FL 33142-3132
(561) 325-1948
Mailing address
1274 NW 55TH TER, MIAMI, FL 33142-3132
(561) 325-1948
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2-063418
AL
164W00000X
Licensed Practical Nurse
Primary
PN5226205
FL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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