Individual
MS. DEBORAH LEIGH HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4605 MACCORKLE AVE SW, CHARLESTON, WV 25309-1311
(304) 344-0096
Mailing address
1914 CLARK POINT TER, CHARLESTON, WV 25314-9748
(304) 546-9662
(304) 768-2468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
50592
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
70067
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603881000
—
WV
01
—
27-3419445
TAX ID
WV
01
—
P00082314
R MEDICA
WV
Enumeration date
09/21/2006
Last updated
07/21/2022
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