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NPI Code Detail

MEDICARE: JANNA SUE HAWLEY RN

MEDICARE:   JANNA SUE HAWLEY  RN
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
1163W00000XRegistered Nurse4704277902MI

General Provider Information

NPI Number : 1831885623
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNA SUE HAWLEY RN
Provider Business Mailing Address
First Line : 13453 E NICOLE LN
Second Line :
City : GOETZVILLE
State : MI
Zip : 49736-9386
Country : US
Telephone Number : 989-916-5523
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number : 866-498-3909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 04/13/2023

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Directions to “ JANNA SUE HAWLEY RN” Practice Location

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