Provider Demographics
NPI:1518368216
Name:HAWKINS, BETH MARY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:MARY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:MARY
Other - Last Name:MILLIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:HUNNEWELL 282
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6329
Mailing Address - Fax:
Practice Address - Street 1:57 ASH HILL RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3832
Practice Address - Country:US
Practice Address - Phone:617-771-0629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA282060363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily