Individual
ENDIA A HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
5816 NEWPORT ST, DETROIT, MI 48213-3641
(313) 303-5371
Mailing address
5816 NEWPORT ST, DETROIT, MI 48213-3641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704379780
MI
164W00000X
Licensed Practical Nurse
4703118869
MI
246RP1900X
Phlebotomy Technician
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
04/19/2021
Last updated
02/03/2025
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