Individual
PATRICIA HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 SKILL CENTER CIR, TAHLEQUAH, OK 74464-6444
(918) 452-5000
(918) 452-6151
Mailing address
1296 SKILL CENTER CIR, TAHLEQUAH, OK 74464-6444
(918) 452-5000
(918) 452-6151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41093
OK
163WC1500X
Community Health Registered Nurse
41093
OK
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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