Provider Demographics
NPI:1790780856
Name:HAWKINS, DEBORAH C (MSN, APRN, FNP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:C
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 BANBURY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1823
Mailing Address - Country:US
Mailing Address - Phone:434-973-4285
Mailing Address - Fax:
Practice Address - Street 1:2964 HYDRAULIC RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8902
Practice Address - Country:US
Practice Address - Phone:434-296-1000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001030024163W00000X
VA0024164028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA77-9413-4Medicaid
MHO598601OtherDEA