Provider Demographics
NPI:1659681294
Name:HAWK WOUND CARE CONSULTING, LLC
Entity Type:Organization
Organization Name:HAWK WOUND CARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:HAWK
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-551-1969
Mailing Address - Street 1:132 BERWYN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2804
Mailing Address - Country:US
Mailing Address - Phone:412-551-1969
Mailing Address - Fax:
Practice Address - Street 1:132 BERWYN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2804
Practice Address - Country:US
Practice Address - Phone:412-551-1969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty