Provider Demographics
NPI:1972308419
Name:HAWTHORNE, CHRISTEN KIMBERLEE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:CHRISTEN
Middle Name:KIMBERLEE
Last Name:HAWTHORNE
Suffix:
Gender:
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 CLEAR CREEK DR # 5-407
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1694
Mailing Address - Country:US
Mailing Address - Phone:315-767-8874
Mailing Address - Fax:
Practice Address - Street 1:3 INTERNATIONAL DR STE 200
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-7501
Practice Address - Country:US
Practice Address - Phone:914-821-8854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1635198163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology