Individual
RIALEY M HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
738 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3386
(208) 933-4913
Mailing address
459 PARK TERRACE DR, TWIN FALLS, ID 83301-3211
(208) 312-6061
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
62271
ID
363LF0000X
Family Nurse Practitioner
Primary
62271
ID
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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