Individual
NATASHA HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
7501 ULMERTON RD APT 523, LARGO, FL 33771-4556
(773) 470-8819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5225196
FL
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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