Individual
MS. MEGAN SUZANNE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
(702) 363-8753
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
(702) 804-3788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1186
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V108890
SMA MEDICARE
NV
Enumeration date
10/08/2009
Last updated
06/28/2018
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