Basic Information
| Provider Information | |||||||||
| NPI: | 1780216184 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LINDA HAWLEY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1070 W HORIZON RIDGE PKWY STE 111 | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890126019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026833107 | ||||||||
| FaxNumber: | 0000000000 | ||||||||
| Practice Location | |||||||||
| Address1: | 305 N PECOS RD STE F | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890741352 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024631665 | ||||||||
| FaxNumber: | 7024633261 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2020 | ||||||||
| LastUpdateDate: | 04/15/2022 | ||||||||
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| AuthorizedOfficialLastName: | HAWLEY | ||||||||
| AuthorizedOfficialFirstName: | LINDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | BUSINESS OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7024631665 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | APRN | ||||||||
| NPICertificationDate: | 04/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.