Individual
MRS. MISTY LYNN HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8792 STATE ROUTE 335, MINFORD, OH 45653-8698
(740) 820-2141
(740) 820-4445
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024165
OH
Other
Enumeration date
02/06/2019
Last updated
12/22/2020
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