Provider Demographics
NPI:1639981582
Name:HAWKINS FORD, CHRISTIANA B
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:B
Last Name:HAWKINS FORD
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 1:3516 N 113TH PLZ APT 6
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2739
Mailing Address - Country:US
Mailing Address - Phone:402-838-6245
Mailing Address - Fax:
Practice Address - Street 1:3516 N 113TH PLZ APT 6
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2739
Practice Address - Country:US
Practice Address - Phone:402-838-6245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant