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NPI Code Detail

MEDICARE: MRS. NICOLE DANIELLE HAWKINS CRNP

MEDICARE: MRS. NICOLE DANIELLE HAWKINS CRNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR187100MD

General Provider Information

NPI Number : 1477925345
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE DANIELLE HAWKINS CRNP
Provider Business Mailing Address
First Line : 1009 FREDERICK RD STE 1
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-5055
Country : US
Telephone Number : 667-381-9228
Fax Number :
Provider Business Practice Location Address
First Line : 1009 FREDERICK RD STE 1
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-5055
Country : US
Telephone Number : 667-381-9228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 02/23/2026

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