Provider Demographics
NPI:1780216184
Name:LINDA HAWLEY LLC
Entity Type:Organization
Organization Name:LINDA HAWLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-463-1665
Mailing Address - Street 1:1070 W HORIZON RIDGE PKWY STE 111
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-6019
Mailing Address - Country:US
Mailing Address - Phone:702-683-3107
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:305 N PECOS RD STE F
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1352
Practice Address - Country:US
Practice Address - Phone:702-463-1665
Practice Address - Fax:702-463-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty