Hawley, Tina

Hawley, Tina is an individual health care provider with primary practice located at 300 York St , Corry PA 16407-1420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hawley, Tina can be contacted via phone (814) 665-8288.

Contact Information

Primary practice address
300 York St Corry PA 16407-1420
Fax: (814) 664-8618
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP004410B Pennsylvania

Profile Details

NPI number 1174586119
LBN Legal business name Hawley, Tina
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 17th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174586119 NPPES
New York MEDICAID 02563679

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