Individual provider · Type 1 NPI
Traci Rae-Deanne Hawkinson, CNP
Nurse Practitioner · Golden Valley, MN
Practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Fax (763) 287-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14615 (MN) |
| Primary Care Nurse Practitioner | 363LP2300X | 14615 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1891610754
Traci Rae-Deanne Hawkinson, CNP's National Provider Identifier is 1891610754, issued on Aug 11, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Golden Valley, MN. The record was last updated on Sep 25, 2026.