| Doctor Name: | SARA ELIZABETH HAWKEN |
| NPI Number: | 1043366412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-102711 |
| Business Practice Address: | 57 N Medical Park Dr Suite 109 Fishersville, VA - 229392353 |
| Business Phone Number: | 5409412531 |
| Business Fax Number: | 5409412534 |
| Mailing Address: | Po Box 388, FISHERSVILLE |
| State: | VA |
| Postal Code: | 229390388 |
| Phone Number: | 5409412531 |
| Fax Number: | 5409412534 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-102711 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |