Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prof. Michelle Juanita Hawthorne

Individual provider Peritoneal Dialysis Registered Nurse · NPI 1972470581

Prof. Michelle Juanita Hawthorne is a Peritoneal Dialysis Registered Nurse in Mount Vernon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

25 Ehrbar Ave Apt 3A
Mount Vernon, NY 10552-3671
Phone: (917) 504-5683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peritoneal Dialysis Registered Nurse (primary) Taxonomy 163WD1100X · Licence 916160 (NY)

Record details

NPI number1972470581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 20, 2025