Individual
IRENE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 212-6250
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
260710
AZ
Other
Enumeration date
07/19/2021
Last updated
06/30/2022
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