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General NPI Number Information
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NPI Number | 1467276022
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Entity Type | Individual
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Provider Name | MRS. ABIGAIL CRAWLEY HAWK
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 604 OAKESDALE AVE SW STE 102
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City | RENTON
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State | WA
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Zip | 98057-5204
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Country | US
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Telephone | 253-403-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 7615A GINKGO DR SW
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City | MCCHORD AFB
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State | WA
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Zip | 98439-2219
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Country | US
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Telephone | 330-730-6949
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61620334
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License Number State | WA
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