MEDICARE: AMBER LYNN HAWKINS FNP

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
1	363L00000X	Nurse Practitioner	AP60844109	WA

General Provider Information

NPI Number	:	1275011470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER LYNN HAWKINS FNP

Provider Business Mailing Address
First Line	:	11531 BARTLETT AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5832
Country	:	US
Telephone Number	:	425-229-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	11531 BARTLETT AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5832
Country	:	US
Telephone Number	:	425-229-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	07/31/2018

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