Provider Demographics
NPI:1598143414
Name:JAWOROWSKI, KAYE E (APRN)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:E
Last Name:JAWOROWSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PINEWOOD RD
Mailing Address - Street 2:ELLIOT FAMILY HEALTH CENTER AT SUNCOOK
Mailing Address - City:ALLENSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03275-2366
Mailing Address - Country:US
Mailing Address - Phone:603-485-7861
Mailing Address - Fax:603-485-2437
Practice Address - Street 1:50 PINEWOOD RD
Practice Address - Street 2:ELLIOT FAMILY HEALTH CENTER AT SUNCOOK
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-2366
Practice Address - Country:US
Practice Address - Phone:603-485-7861
Practice Address - Fax:603-485-2437
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH063125-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily