Individual
KELLY C HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
315 STATE ROUTE 31 S, WASHINGTON, NJ 07882-4069
(908) 689-0777
(908) 835-3037
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-6309
(908) 835-1910
(908) 835-1886
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NN84769
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7891504
—
NJ
01
—
P00645982
RAILROAD MEDICARE
NJ
Enumeration date
10/26/2005
Last updated
09/10/2015
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