MEDICARE: STEFFANI HAMILTON RN, BSN

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	163W00000X	Registered Nurse	856196	TX

General Provider Information

NPI Number	:	1942682125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFANI HAMILTON RN, BSN

Provider Business Mailing Address
First Line	:	2010 KIRKSEY DR
Second Line	:	UNIT A
City	:	AUSTIN
State	:	TX
Zip	:	78741-4849
Country	:	US
Telephone Number	:	254-220-8107
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 KIRKSEY DR
Second Line	:	UNIT A
City	:	AUSTIN
State	:	TX
Zip	:	78741-4849
Country	:	US
Telephone Number	:	254-220-8107
Fax Number	:

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

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	06/24/2015

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