Individual
SARA ELIZABETH HAWKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3350 BERKMAR DR, CHARLOTTESVILLE, VA 22901-1491
(434) 923-4651
(434) 964-3636
Mailing address
3350 BERKMAR DR, CHARLOTTESVILLE, VA 22901-1491
(434) 923-4651
(434) 964-3636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024168945
VA
363LF0000X
Family Nurse Practitioner
1-102711
AL
Other
Enumeration date
01/26/2007
Last updated
09/12/2016
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