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Individual

MRS. ANGELA RANAE HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,PNP-C

Contact information

Practice address
204 E 3RD ST, ALLIANCE, NE 69301-3826
(308) 761-1151
(308) 761-1139
Mailing address
204 E 3RD ST, PO BOX 646, ALLIANCE, NE 69301-3826
(308) 761-1151
(308) 761-1139

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
111542
NE

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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