Provider Demographics
NPI:1780333260
Name:DUKURAY, HAWA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HAWA
Middle Name:
Last Name:DUKURAY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:570-486-4588
Mailing Address - Fax:570-486-4590
Practice Address - Street 1:531 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SHAMOKIN
Practice Address - State:PA
Practice Address - Zip Code:17872-6754
Practice Address - Country:US
Practice Address - Phone:570-486-4588
Practice Address - Fax:570-486-4590
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026807363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
2021207611OtherPMHNP -BC CERTIFICATION NUMBER