MEDICARE: BETHANY HAMILTON FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN2300709	MA

General Provider Information

NPI Number	:	1467305029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY HAMILTON FNP-BC

Provider Business Mailing Address
First Line	:	31 HALL DR
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2751
Country	:	US
Telephone Number	:	413-256-8561
Fax Number	:	866-644-0869

Provider Business Practice Location Address
First Line	:	31 HALL DR
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2751
Country	:	US
Telephone Number	:	413-256-8561
Fax Number	:	866-644-0869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	05/12/2026

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