Provider Demographics
NPI:1598838864
Name:HAWKINS, ELIZABETH (PHD CRNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHD CRNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:HAWKINS-WALSH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:2827 N QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-5214
Mailing Address - Country:US
Mailing Address - Phone:703-243-9464
Mailing Address - Fax:
Practice Address - Street 1:1525 NEWTON ST NW
Practice Address - Street 2:WASHINGTON FREE CLINIC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3103
Practice Address - Country:US
Practice Address - Phone:202-667-1106
Practice Address - Fax:202-328-2652
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN30139363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics