Most Relevant Information
Provider Data
| NPI Number: | 1003184425 |
| Provider Name: | SUSAN ELIZABETH HAWKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2757133102 |
Most Important Dates
| Enumeration Date: | 12/13/2011 |
| Last Updated: | 12/13/2011 |
Provider Practice Location
5965 S 900 E
SALT LAKE CITY
UT
841211720
Practice Location Phone/Fax
| Phone: | 8012637100 |
| Fax: |
Provider Mailing Location
5965 S 900 E
SALT LAKE CITY
UT
841211720
Provider Mailing Phone/Fax
| Phone: | 8012637100 |
| Fax: |