Provider Demographics
NPI:1467772186
Name:HAWLEY, MARY (RN, WOCN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:RN, WOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 HAWLEY RD
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-7407
Mailing Address - Country:US
Mailing Address - Phone:910-514-7590
Mailing Address - Fax:
Practice Address - Street 1:213 HAWLEY RD
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-7407
Practice Address - Country:US
Practice Address - Phone:910-514-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC146983163W00000X
NC2005453695163WW0000X, 163WX1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care