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NPI Code Detail

MEDICARE: DANIELLE HAWES

MEDICARE:   DANIELLE  HAWES
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 Assistant

General Provider Information

NPI Number : 1083543250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE HAWES
Provider Business Mailing Address
First Line : 101 ELM AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24013-2222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELM AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24013-2222
Country : US
Telephone Number : 763-273-0378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ DANIELLE HAWES ” Practice Location

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