Provider Demographics
NPI:1306461942
Name:HAWNEY, STEPHANIE C (EMT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:C
Last Name:HAWNEY
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MARINE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7345
Mailing Address - Country:US
Mailing Address - Phone:253-569-2330
Mailing Address - Fax:
Practice Address - Street 1:401 MARINE ST APT 2
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7345
Practice Address - Country:US
Practice Address - Phone:253-569-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health