Individual
ELLA THERESA HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
162 RAINEY RD, SWEDESBORO, NJ 08085-3206
(609) 433-6672
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00648600
NJ
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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