Provider Demographics
NPI:1861225161
Name:HAWKINS RIGG, NANCY ANN (LATC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:HAWKINS RIGG
Suffix:
Gender:F
Credentials:LATC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LATC
Mailing Address - Street 1:25 MCBRY DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4407
Mailing Address - Country:US
Mailing Address - Phone:302-423-1816
Mailing Address - Fax:
Practice Address - Street 1:1510 E LEBANON RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-5834
Practice Address - Country:US
Practice Address - Phone:302-423-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ300002412255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty