Provider Demographics
NPI:1982266466
Name:HAWLEY, RAYNA ELIZABETH
Entity Type:Individual
Prefix:
First Name:RAYNA
Middle Name:ELIZABETH
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 HEATHERWOOD ST SW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4111
Mailing Address - Country:US
Mailing Address - Phone:330-990-9687
Mailing Address - Fax:
Practice Address - Street 1:410 HEATHERWOOD ST SW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4111
Practice Address - Country:US
Practice Address - Phone:330-413-1528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health