Individual
BRENDA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 HOMER RD, MINDEN, LA 71055-3027
(318) 377-7500
Mailing address
8200 PINES RD, 2702, SHREVEPORT, LA 71129-4442
(318) 332-9604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09043
LA
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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