Provider Demographics
NPI:1013223056
Name:HAWKINS, JULIE ANN (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LONE OAK LN
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-2619
Mailing Address - Country:US
Mailing Address - Phone:262-457-3028
Mailing Address - Fax:
Practice Address - Street 1:208 LONE OAK LN
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:WI
Practice Address - Zip Code:53027-2619
Practice Address - Country:US
Practice Address - Phone:262-457-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI146561-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse