Individual
LUDYLYN HAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4044
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719978
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404404
NY
Other
Enumeration date
04/09/2018
Last updated
08/26/2022
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