Provider Demographics
NPI:1376942706
Name:HAWKINS, TANA CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:TANA
Middle Name:CHRISTINE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-1181
Mailing Address - Country:US
Mailing Address - Phone:330-614-0724
Mailing Address - Fax:
Practice Address - Street 1:1170 W VINE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-1181
Practice Address - Country:US
Practice Address - Phone:330-614-0724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide