IndividualActive
Maranda Hawkins
NPI 1629646393 · General Practice Registered Nurse · Bloomington, IN
Provider details
- NPI number
- 1629646393
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28191860A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
363 S Fieldstone Blvd
Bloomington, IN 47403-9809
Phone: (812) 825-0551
Approximate (ZIP-level) locationGet directions
Mailing address
363 S Fieldstone Blvd
Bloomington, IN 47403-9809
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.