1003976382 NPI number — ANNE MUNRO HAWKINS MS, CGC. LGC

Table of content: ANNE MUNRO HAWKINS MS, CGC. LGC (NPI 1003976382)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003976382 NPI number — ANNE MUNRO HAWKINS MS, CGC. LGC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAWKINS
Provider First Name:
ANNE
Provider Middle Name:
MUNRO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, CGC. LGC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MECHAM
Provider Other First Name:
ANNE
Provider Other Middle Name:
MUNRO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003976382
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MAIL CODE 5652 725 WELCH RD.
Provider Second Line Business Mailing Address:
LUCILE PACKARD CHILDRENS HOSPITAL AT STANFORD
Provider Business Mailing Address City Name:
PALO ALTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-723-5198
Provider Business Mailing Address Fax Number:
650-725-2878

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 SAN JOSE STREET
Provider Second Line Business Practice Location Address:
SUITE 311 LPCH PERINATAL DIAGNOSTIC CENTER AT SALINAS
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-759-3269
Provider Business Practice Location Address Fax Number:
831-753-5797
Provider Enumeration Date:
12/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 170300000X , with the licence number: GC000057 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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