Provider Demographics
NPI:1235473703
Name:HAWKINS, MICHELLE STARKEY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:STARKEY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:8116 GOOD LUCK ROAD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:301-306-1611
Mailing Address - Fax:301-486-7581
Practice Address - Street 1:7219 HANOVER PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-306-1611
Practice Address - Fax:301-486-7581
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2018-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR181415363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily