Individual
HEATHER JULINE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PEACEHEALTH MEDICAL GROUP, 4545 CORDATA PARKWAY, SUITE 1B, BELLINGHAM, WA 98226
(360) 752-5216
(360) 752-5669
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95005626
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60930255
WA
363LP2300X
Primary Care Nurse Practitioner
AP60930255
WA
Other
Enumeration date
12/21/2016
Last updated
09/17/2019
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