Individual
MRS. DONNA JO HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 210-1259
Mailing address
224 FOREST ST, FOX LAKE, WI 53933-9404
(920) 210-1259
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
8756
WI
363L00000X
Nurse Practitioner
Primary
8756
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8756
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083122
—
WI
05
—
100193794
—
WI
Enumeration date
10/30/2018
Last updated
02/23/2022
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