| Doctor Name: | TINA HAWLEY |
| NPI Number: | 1174586119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP004410B |
| Business Practice Address: | 300 York St Corry, PA - 164071420 |
| Business Phone Number: | 8146658288 |
| Business Fax Number: | 8146648618 |
| Mailing Address: | 300 York St, CORRY |
| State: | PA |
| Postal Code: | 164071420 |
| Phone Number: | 8146658288 |
| Fax Number: | 8146648618 |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP004410B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |