Individual
ANNA HAWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1880 FILLMORE STREET, TWIN FALLS, ID 83301-3015
(208) 735-8386
(208) 735-0434
Mailing address
1880 FILLMORE STREET, TWIN FALLS, ID 83301-5029
(208) 735-8386
(208) 735-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP710A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807196200
—
ID
Enumeration date
07/28/2005
Last updated
03/13/2013
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