Provider Demographics
NPI:1184000341
Name:HAWLEY, NOEL PRATHER (APRN)
Entity Type:Individual
Prefix:MR
First Name:NOEL
Middle Name:PRATHER
Last Name:HAWLEY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-893-0495
Mailing Address - Fax:502-895-7009
Practice Address - Street 1:201 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3850
Practice Address - Country:US
Practice Address - Phone:502-893-0495
Practice Address - Fax:502-895-7009
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009607363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health