Healthcare Provider Details

I. General information

NPI: 1184656530
Provider Name (Legal Business Name): HOLLIE LEA HAWKINS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLIE LEA TWIBELL

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 E. 41ST ST 2ND FLOOR, STE A
TULSA OK
74135-2527
US

IV. Provider business mailing address

PO BOX 268838
OKLAHOMA CITY OK
73126-8838
US

V. Phone/Fax

Practice location:
  • Phone: 918-619-4300
  • Fax: 918-619-4322
Mailing address:
  • Phone: 918-588-1900
  • Fax: 918-582-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR29735
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: