Healthcare Provider Details

I. General information

NPI: 1407553167
Provider Name (Legal Business Name): DARIAN J HAWKE DNP, PMHNP, ARNP,CEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6704 TACOMA MALL BLVD STE 111
TACOMA WA
98409-9001
US

IV. Provider business mailing address

227 S 55TH ST
TACOMA WA
98408-6402
US

V. Phone/Fax

Practice location:
  • Phone: 253-260-6521
  • Fax: 253-397-3443
Mailing address:
  • Phone: 253-301-8908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number116106
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number217583
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN60712454
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-4371-0
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number217615
License Number StateAK
# 6
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN60712454
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License NumberRN60712454
License Number StateWA
# 8
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61478008
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: