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KATELYN PETICCA HAWLEY RN MSN FNP-BC NPI 1396301685


NPI Information

NPI: 1396301685
Provider Name: KATELYN PETICCA HAWLEY, RN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: METRO INFECTIOUS DISEASE CONSULTANTS LLC

PECOS Registration: Yes

Address:
3525 KAREN PKWY APT 204
WATERFORD, MI
ZIP 48328
Phone: (248) 568-0692
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Katelyn Peticca Hawley, RN, MSN, FNP-BC is a family nurse practitioner in Waterford, MI with 6 years of experience. Katelyn Peticca Hawley, RN, MSN, FNP-BC NPI is 1396301685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2018

The provider's business location address is:

3525 KAREN PKWY APT 204
WATERFORD, MI
ZIP 48328-609
Phone: (248) 568-0692

The NPI 1396301685 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily4704300190MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.