Individual provider · Type 1 NPI

Tracy Hawthorne, PA

Physician Assistant · Willimantic, CT

NPI number 1528046646 Active

Practice location

112 Mansfield Ave
Willimantic, CT 06226-2045

Call (860) 456-9116 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001685 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528046646

Tracy Hawthorne, PA's National Provider Identifier is 1528046646, issued on Jan 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Willimantic, CT. The record was last updated on Aug 12, 2009.