Individual
MR. DALE WADE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
5840 N LA CHOLLA BLVD, TUCSON, AZ 85741-3537
(520) 519-8560
Mailing address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 792-3293
(520) 792-4336
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
4704165653
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366792
—
AZ
05
—
4670866
—
MI
Enumeration date
01/10/2007
Last updated
08/03/2021
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