Provider Demographics
NPI:1285059915
Name:HAWSEY, VICKI ROCHE (RN)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:ROCHE
Last Name:HAWSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 CORBIN DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-8010
Mailing Address - Country:US
Mailing Address - Phone:406-534-4150
Mailing Address - Fax:
Practice Address - Street 1:3719 CORBIN DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8010
Practice Address - Country:US
Practice Address - Phone:406-534-4150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556363163WM0705X
MTNUR-RN-LIC-44801163WP2201X
LARN063294163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical