Healthcare Provider Details

I. General information

NPI: 1518112366
Provider Name (Legal Business Name): MELISSA DAWN HAWKINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA DAWN HAWKINS NP

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 S UNION AVE STE A5
TACOMA WA
98405-1332
US

IV. Provider business mailing address

2302 S UNION AVE STE A5
TACOMA WA
98405-1332
US

V. Phone/Fax

Practice location:
  • Phone: 253-319-2848
  • Fax: 888-520-6141
Mailing address:
  • Phone:
  • Fax: 888-520-6141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA0608358
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP61028239
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61028239
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039221
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: