MRS. MAXINE VERNETTE HAWK


Address: 39061 Commons Dr., Romulus, MI 48174
Phone: 7347298915

MRS. MAXINE VERNETTE HAWK (NPI# 1811346422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811346422
Entity Type Individual
Full Name MRS. MAXINE VERNETTE HAWK
Credential AGPCNP-BC
Practice Address 39061 Commons Dr.
Romulus
MI 48174
Practice Telephone 7347298915
Mailing Telephone 7347298915
Enumeration Date 2016-06-06
Last Update Date 2016-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG1015138 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 39061 COMMONS DR.
City ROMULUS
State MI
Zip Code 48174

Providers in the same zip code

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1417447947 Pamela Ann Kaczor Nurse Practitioner 28721 Northline Rd, Romulus, MI 48174 2018-05-10
1750806469 Demetrius Kirk Registered Nurse 30075 Spain, Romulus, MI 48174 2017-08-03
1982133302 Tamika Lloyd Non-emergency Medical Transport (VAN) 6002 Bay Hill Ct, Romulus, MI 48174 2017-06-08
1164880282 Lacara Gilmore Counselor 15056 Colbert St, 03, Romulus, MI 48174 2016-02-03
1982082632 Kristin Michelle Rhan Licensed Practical Nurse 10195 Diane St. Apt302, Romulus, MI 48174 2015-05-14
1790176790 Dylan Marie Feil Social Worker 37300 Wick Rd, Romulus, MI 48174 2015-02-11
1285053710 Janeise Daniels Licensed Practical Nurse 9426 Lisa, Romulus, MI 48174 2014-04-14
1699119461 James A. Lee Counselor C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 2013-04-24
1922302132 Covenant To Care, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37292 Mcbride, Romulus, MI 48174 2011-01-03
1689901803 Ambrose Green Jr. Occupational Therapist 35431 Avalon, Romulus, MI 48174 2009-11-09
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
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1568931673 Jennifer Lavigne Nurse Practitioner 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 2018-11-19
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Competitor

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City ROMULUS
Zip Code 48174

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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