Individual
BREANA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PNP-AC
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7171
Mailing address
2101 E RIVERVIEW CT, PEORIA HEIGHTS, IL 61616-5409
(309) 241-2618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.025803
IL
Other
Enumeration date
12/29/2022
Last updated
01/06/2023
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