Individual
AMY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
680 E MAIN ST, LEHI, UT 84043
(801) 768-1699
Mailing address
680 E MAIN ST, LEHI, UT 84043-2241
(801) 768-1699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8157613-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8157613-4405
UT
Other
Enumeration date
03/23/2018
Last updated
06/06/2018
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