Provider Demographics
NPI:1518537067
Name:HAWKS, CHELSEA L (NP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:L
Last Name:HAWKS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 PARRISH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1693
Mailing Address - Country:US
Mailing Address - Phone:585-905-0767
Mailing Address - Fax:585-394-7497
Practice Address - Street 1:195 PARRISH ST STE 220
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1693
Practice Address - Country:US
Practice Address - Phone:585-905-0767
Practice Address - Fax:585-394-7497
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF347627-01363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner