Provider Demographics
NPI:1750092912
Name:HAWK, RACHEL R (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:R
Last Name:HAWK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:R
Other - Last Name:MOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16172 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:OH
Mailing Address - Zip Code:44086-9750
Mailing Address - Country:US
Mailing Address - Phone:440-812-3126
Mailing Address - Fax:
Practice Address - Street 1:16172 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:THOMPSON
Practice Address - State:OH
Practice Address - Zip Code:44086-9750
Practice Address - Country:US
Practice Address - Phone:440-812-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0032784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily