Provider Demographics
NPI:1033960786
Name:HAWKINS, VERNETTA VENEY
Entity type:Individual
Prefix:MRS
First Name:VERNETTA
Middle Name:VENEY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7641 TALL PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6576
Mailing Address - Country:US
Mailing Address - Phone:202-271-6465
Mailing Address - Fax:
Practice Address - Street 1:1845 HARVARD ST NW APT 630
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2364
Practice Address - Country:US
Practice Address - Phone:202-271-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant