Provider Demographics
NPI:1073500773
Name:HAWKINS, ERIN COLLEEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:COLLEEN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9012
Mailing Address - Country:US
Mailing Address - Phone:304-624-7200
Mailing Address - Fax:304-423-5208
Practice Address - Street 1:120 MEDICAL PARK DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9012
Practice Address - Country:US
Practice Address - Phone:304-624-7200
Practice Address - Fax:304-423-5208
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV52780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810007712Medicaid
WVWV0883BMedicare PIN
WVNP27691Medicare PIN
Q55440Medicare UPIN