Provider Demographics
NPI:1609263433
Name:HAWKINS, ANDREA (CNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 PFEIFFER RD
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4872
Mailing Address - Country:US
Mailing Address - Phone:937-260-7894
Mailing Address - Fax:
Practice Address - Street 1:5151 PFEIFFER RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4872
Practice Address - Country:US
Practice Address - Phone:937-260-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA: 17207-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner