Individual
KATHLEEN ELENA HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP-BC
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
(413) 781-1059
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
(413) 781-1059
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2286062
MA
Other
Enumeration date
09/10/2013
Last updated
10/20/2021
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