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NPI Code Detail

MEDICARE: ANGELA HAWKINS P.A.-C

MEDICARE: ANGELA HAWKINS P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA816NV

General Provider Information

NPI Number : 1053417345
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA HAWKINS P.A.-C
Provider Business Mailing Address
First Line : PO BOX 36190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-6190
Country : US
Telephone Number : 702-987-1555
Fax Number : 702-541-9180
Provider Business Practice Location Address
First Line : 911 N BUFFALO DR
Second Line : SUITE 113
City : LAS VEGAS
State : NV
Zip : 89128-0379
Country : US
Telephone Number : 702-987-1555
Fax Number : 702-541-9180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 02/09/2018

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Directions to “ ANGELA HAWKINS P.A.-C” Practice Location

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