Provider Demographics
NPI:1487859617
Name:HAWKINS, LINETTE LAVERNE (APRN)
Entity Type:Individual
Prefix:MS
First Name:LINETTE
Middle Name:LAVERNE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8701 SEASONS WAY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3815
Mailing Address - Country:US
Mailing Address - Phone:301-577-6222
Mailing Address - Fax:301-459-1826
Practice Address - Street 1:8201 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3016
Practice Address - Country:US
Practice Address - Phone:301-577-6222
Practice Address - Fax:301-459-1826
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR095517363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD082NR690Medicare PIN
MD022742F72Medicare PIN