| NPI | 1083469720 |
|---|---|
| Doing Business As | HAWTHORN WELLNESS CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | ALLISON MARIE DONOVAN Owner/Practioner 319-621-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |