Healthcare Provider Details

I. General information

NPI: 1760425656
Provider Name (Legal Business Name): ELAINE RHINE HAMILTON RN, CPNP, MS. MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 03/06/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE DEPT OF PEDIATRICS
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

PO BOX 732
BONSALL CA
92003-0732
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-3469
  • Fax:
Mailing address:
  • Phone: 760-724-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number337991
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number337991
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number337991
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: