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Individual

STEPHANIE HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
234409
LA
363LP0200X
Pediatric Nurse Practitioner
AP126597
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
347490001
TX
05
347490002
TX
01
752950731
TAX ID
TX
Enumeration date
12/03/2013
Last updated
08/23/2024
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