Provider Demographics
NPI:1386988939
Name:TAWMGING, HAULEK (,DNP, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HAULEK
Middle Name:
Last Name:TAWMGING
Suffix:
Gender:F
Credentials:,DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:NING
Other - Middle Name:
Other - Last Name:HAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10950-60 SAN JOSE BLVD
Mailing Address - Street 2:#213
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223
Mailing Address - Country:US
Mailing Address - Phone:904-449-7995
Mailing Address - Fax:
Practice Address - Street 1:331 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2224
Practice Address - Country:US
Practice Address - Phone:541-276-6207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201809861NP-PP363LP0808X
NH080014-23363LP0808X
WAAP60872236363LP0808X
COC-APN.0001147-C-NP363LP0808X
FLARNP9374776363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health