Individual
AMY ELIZABETH HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3535
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23355.1658
WY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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