Provider Demographics
NPI:1932449709
Name:HAWTHORNE, ARAINE CADINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ARAINE
Middle Name:CADINE
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SEYMOUR LANE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-0149
Mailing Address - Country:US
Mailing Address - Phone:631-736-1673
Mailing Address - Fax:
Practice Address - Street 1:91 SEYMOUR LANE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-0149
Practice Address - Country:US
Practice Address - Phone:631-736-1673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health