Doctor Name: | BOBBI HAWVER |
NPI Number: | 1013346691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-BC |
License Number: | ARNP 3358812 |
Business Practice Address: | 18480 Cochran Blvd Port Charlotte, FL - 339483379 |
Business Phone Number: | 9417434700 |
Business Fax Number: | |
Mailing Address: | 18480 Cochran Blvd, PORT CHARLOTTE |
State: | FL |
Postal Code: | 339483379 |
Phone Number: | 9417434700 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 3358812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |