Amy Marie Hawley, NP
Nurse Practitioner, Family in Johnson City, NY. Individual provider (NPI-1).
NPI number1962014886
StatusActive
Last updated in NPPESAug 21, 2020
Details
- NPI
- 1962014886
- Entity type
- Individual (NPI-1)
- Name
- Amy Marie Hawley
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2020
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F346234-01 | NY | Yes |
Practice location
401 Main St Ste 1Johnson City, NY 13790-2065
Phone 607-754-9870 · Fax 607-785-9862
Mailing address
401 Main St Ste 1Johnson City, NY 13790-2065
Phone 607-754-9870 · Fax 607-785-9862
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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