Provider Demographics
NPI:1447547823
Name:HAWKINS, MARIA ELENA (PA-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 IVERSON TER N
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7629
Mailing Address - Country:US
Mailing Address - Phone:301-788-0886
Mailing Address - Fax:215-957-2875
Practice Address - Street 1:100 WITMER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2251
Practice Address - Country:US
Practice Address - Phone:215-442-5036
Practice Address - Fax:215-957-2875
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC04482363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD05311988OtherDATE OF BIRTH