TYRA HAWTHORNE
Licensed Practical Nurse
Active
Individual
NPI: 1619675139
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703122040 (MI) |
Frequently Asked Questions
NPI 1619675139 is the National Provider Identifier for TYRA HAWTHORNE, a Licensed Practical Nurse provider located in Detroit, MI. This NPI was enumerated on February 23, 2023.
TYRA HAWTHORNE practices at 11464 NASHVILLE ST, Detroit, MI 48205.
Quick Facts
- NPI
- 1619675139
- Type
- Individual
- Enumerated
- Feb 23, 2023
- Last Updated
- Feb 23, 2023
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