Provider Demographics
NPI:1407198856
Name:CURTIS, AMBER HAWKINS (RN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:HAWKINS
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17811 CROSSLIN RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-9705
Mailing Address - Country:US
Mailing Address - Phone:405-997-5679
Mailing Address - Fax:
Practice Address - Street 1:17811 CROSSLIN RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-9705
Practice Address - Country:US
Practice Address - Phone:405-997-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR62431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse