Provider Demographics
NPI:1336702596
Name:HAWKINS, ARTESIA (CHW)
Entity Type:Individual
Prefix:
First Name:ARTESIA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-3050
Mailing Address - Country:US
Mailing Address - Phone:330-256-9850
Mailing Address - Fax:
Practice Address - Street 1:345 E OXFORD ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3050
Practice Address - Country:US
Practice Address - Phone:330-256-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator