Provider Demographics
NPI:1407553167
Name:HAWKE, DARIAN J (DNP, PMHNP, ARNP,CEN)
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:J
Last Name:HAWKE
Suffix:
Gender:M
Credentials:DNP, PMHNP, ARNP,CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 S 55TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-6402
Mailing Address - Country:US
Mailing Address - Phone:253-301-8908
Mailing Address - Fax:
Practice Address - Street 1:6704 TACOMA MALL BLVD STE 111
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-9001
Practice Address - Country:US
Practice Address - Phone:253-260-6521
Practice Address - Fax:253-397-3443
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI116106163W00000X
AK217583163W00000X
WARN60712454163WE0003X, 163WP0809X, 163WS0121X
HIAPRN-4371-0363LP0808X
AK217615363LP0808X
WAAP61478008363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery