Provider Demographics
NPI:1841338167
Name:HAWK, JOYCE F (CRNP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:F
Last Name:HAWK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010036363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA148211SHMOtherMEDICARE
PA1025517330001Medicaid