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NPI Code Detail

MEDICARE: HAULEK TAWMGING ,DNP, ARNP, PMHNP-BC

MEDICARE: HAULEK TAWMGING ,DNP, ARNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN.0001147-C-NPCO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner201809861NP-PPOR
3363LP0808XPsychiatric/Mental Health Nurse Practitioner080014-23NH
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60872236WA
5363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9374776FL

General Provider Information

NPI Number : 1386988939
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAULEK TAWMGING ,DNP, ARNP, PMHNP-BC
Provider Business Mailing Address
First Line : 12443 SAN JOSE BLVD STE 601D
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-8652
Country : US
Telephone Number : 206-486-0424
Fax Number :
Provider Business Practice Location Address
First Line : 12443 SAN JOSE BLVD STE 601D
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-8652
Country : US
Telephone Number : 206-486-0424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2012
Last Update Date : 05/27/2026

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